Registration Form

📅 Sunday 21st December 2025
⏰ 09:00 am – 11:00 am
📍The Shed, Westville Country Club, 1 Link Rd, Westville, 3629
💃 Join us for a fun, festive Zumba session in support of DeafKidz International, protecting deaf children worldwide.
Participant Information

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* 1. Name:

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* 3. Emergency Contact Name:

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* 4. Emergency Contact Phone Number:

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* 5. Please read carefully before signing:

I understand that Zumba involves physical activity and that I am responsible for ensuring I am fit and able to participate. I agree to take part entirely at my own risk and release DeafKidz International, its organisers, instructors, and partners from any liability for injuries, loss, or damage sustained during the event.

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* 6. Photography & Media Consent

We may take photos or short videos during the event for use in DeafKidz International’s communications and social media.

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* 7. Stay in Touch
Would you like to receive updates about DeafKidz International’s work and future events?

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