Step 2 - Please enter further information
Preferred dance choice*
If you've chosen the partnered dance option please provide the name of your dance partner (please note that they will still have to regiseter themselves)
Why do you want to take part in Strictly St Gemma's?*
Name of the cardholder making this booking:*
I understand that by registering for Strictly St Gemma's I agree to raising a minimum sponsorship of £250 and sell a minimum of 10 tickets to the grand finale show on the 27th March 2020. I also confirm that I am free to perform at the Strictly St Gemma's Grand Finale Show on the evening of 27th March and agree to attend all dance lessons.
I understand that all participants taking part in
Strictly St Gemma's do so at their own risk. In no event shall St Gemma’s Hospice be liable for any injuries, loss or damages whatsoever, including indirect, punitive, special, incidental or consequential losses connected with any aspect of this event.
I agree that if necessary I will consult my GP to gain advice to as I'm physically able to take part in the dance lessons and grand finale show.
I understand that participants taking part in Strictly St Gemma's do so at their own risk. In no event shall St Gemma’s Hospice or the Dance Studio Leeds be liable for any injuries, loss or damages whatsoever.
I understand that by registering my interest for Strictly St Gemma's, I will be contacted by St Gemma's Hospice about the event and raising sponsorship.
If I choose a partnered dance I agree to find my own dance partner and understand that they must also pay a registration fee, raise the minimum sponsorship and sell 10 tickets for the grand finale show as per the entry terms and conditions.