CPN logo Click to go home.Dance Company
Booking Form for
Workshops, Classes, Courses and Party's
Your full name:

Your Address:

Post Code:
Telephone:
Your e-mail address: (e.g.: you@aol.com)

Workshops, Classes, Courses And Party's
Which Class/Course Workshop or Party do you wish to participate in?
enter e.g. Salsa, Jive (Le Roc), Breakdancing etc.
Which Level are you booking for Beginners or Improvers/Advanced.?

How many People are you booking it for?
Just myself Myself and Partner Group
I want to order for a group of people (enter how many)

Which Dates are you booking for?

(See the Class page for current pricing details of Workshops).

This space is provided for any additional information you wish to ask or add to your order.
Merchandise
I would like to order:
Le Roc T- Shirt @ £15.00 ea.
How Many (please enter an amount)
  T-shirt Small  T-shirt Medium 
T-shirt Large T-shirt XL

I understand that this information will be stored on the C.P.N. Mailing data base.

You can print this form and bring it along to your next class with your cheque payable to the CPN Dance Company