ClubCollect

MaxStudios

Personal Details

Enter the participant's details here

First Name (required)

Last Name (required)

Gender (required)

Male

Female

Rather not say

Date of Birth (required)

Contact Details

Enter the details of the person liable for payment here

Contact Email (required)

Phone 1

Country Code

Phone Number

Find Address

Type in some of your address details to locate your address

Address line 1

House No.

Extension

Postcode

City

Country

Payment Details

Payment Type

Direct debit

IBAN (required)

By providing your IBAN you permit us to debit your account in connection with your membership.

Other Details

Choose a dance style (required)

Choose a second dance style (required)

Choose the lesson location (required)

I want to make use of a subsidy scheme (required)

Day and Time(required)

Additional Info

I agree to the General Terms and Conditions and hereby authorize MaxStudios to debit contribution amounts from my IBAN number until further notice. Enrolling is possible at any time during the year. If enrolling during a current payment term, the tuition fee will be calculated pro rata.