Before you book any Rainbow Nation Dance Academy (RNDA) classes or events, you’ll need to create a profile by filling in the form below & hitting submit.
Absolutely anyone over 18 years old can join, regardless of gender, sexuality, ethnic background, ability level or confidence, you are welcome here, we’d love to have you join us!

Any questions or issues do not hesitate to contact us.

Personal Information

Username

Email^*

Password

Please give us below your name and pronouns as you identify, regardless of any legal documents.
One first name and last name is enough.

First Name:^*

Last Name:^*

Preferred Pronouns:^*

Which location do you intend to take classes in?^*

Phone Number:^*

Date of birth:^*

What field do you work in/what do you do?

How did you hear about us?^*

If you've been referred by a current member, please let us know their full name.

Emergency Contact Details

It's very important that we have at least emergency contact in case something happens to you.

Emergency Contact (1):^*

Emergency Contact Number (1) new:^*

Emergency Contact (2):

Emergency Contact Number (2) new:

Medical Information

Do you currently have any ongoing medical, physical or mental conditions that we should know about?^*

If yes, please detail:

Do you have any previous medical conditions that are likely to resurface or that we should know about?^*

If yes, please detail:

Are you currently on any form of medication that may affect your ability to take part in classes?^*

If yes, please detail:

Are you aware, through professional medical advice or your own experience, of any other reason for not joining RNDA without medical approval?^*

If yes, please detail:

If you answered YES to any of these questions you should seek medical advice before starting any more, or new forms of exercise. You may still be able to do any activity you want as long as you start slowly or you may need to restrict your activities to those which are safe for you.

Code of Conduct Agreement^*

I confirm that all the information I have provided above is correct to the best of my knowledge, and agree to adhere to the Rainbow Nation Code of Conduct:

Code of Conduct

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