Registration for access to Training Website

Required information from Ceroc teachers or teacher trainees before being granted access to the Ceroc Teacher Training Website.

* indicates required field

First Name:*

Last Name:*

Address:*

Phone Number:*

Mobile Number:*

Email:*

Ceroc Branch:*

Auckland Central Auckland Norwest Auckland Cityside South Auckland Counties Waikato Wanganui Wellington Christchurch Rotorua Tauranga Taranaki Dunedin Southern Lakes Nelson Kapiti Hutt Palmerston North

Name of Branch Owner:*

Are you a Ceroc Dance Teacher?:*

Teacher
Trainee Teacher
No

Do you have a current signed Ceroc Dance Teacher Contracting Agreement?:*

Yes
No

Do you have a current signed Ceroc Dance Teacher Contracting Agreement (Trainee)?:

Yes
No

What is the signed date of the Teacher's Contracting Agreement- Teacher or Trainee?:

I have read the above Intellectual Property Acknowledgement, Terms & Conditions of Use for the Ceroc NZ Teacher Training Website and accept these IP Acknowledgement Terms & Conditions.*

Yes

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