Dance Fit 55+ Waitlist | City of North Bay

Please note that completing a form does not guarantee registration. Staff will contact you within two business days to confirm your spot in this program.

Fields marked * are mandatory.

What is your full name? *

What is your email address? *

What is your phone number? *

What is your postal code?

I confirm that I am 55 or over. *

Who should we call in case of an emergency? *

What is their phone number? *

Consent for storing submitted data *

Yes, I give permission to store and process my data

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for its intended purpose only. Questions about this collection or personal information should be directed to the City Clerk, 200 McIntyre Street East, North Bay ON P1B 8V6, or by telephone at (705) 474-0626 ext. 2510.