SARA RAYMOND DANCE ACADEMY
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Adult Registration Form/ Schedule
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Name
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First
Last
Phone Number
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Email
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Choose Class Date
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Monday Beginner West Coast Swing 6:30-7:30pm July 29th - August 26th $50 per person
Monday Intermediate West Coast Swing 7:30-9:30pm July 29th - July 26th $80 per person
Tuesday International FlashMob with Pamela 6:00-8:00pm July 30, Aug 6, 20 and 27th $80 per person
Wednesday Beg Line Dance 7:30-8:30pm July 24th- Aug 21 $60 per person
Wednesday Int Line Dance 8:30-9:30pm July 24th - Aug 21 $60 per person
Payment
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E-transfer (Each Term must be paid up front. Please send e-transfers to
[email protected]
)
Cash
Cheque
BY SIGNING THIS DOCUMENT YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
I understand that once registering for a program I must pay for the fees. There are no refunds but either a credit or switching classes can be discussed.
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Yes
I understand that if I am not feeling well that I must miss the dance class until once feeling better.
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Yes
We the guarantor, if applicable, on behalf of ourselves, hereby forever release, discharge and hold harmless members of Sara Raymond Dance for any injury arising out or in connection to taking dance class.
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Yes
I hereby release and forever discharge Sara Raymond Dance Academy, its Directors, Employees, or Volunteers and its or their successors, of and from any claim, demand, damage, which may include a failure to properly safeguard against any dangers and hazards pertaining to the event, including, without limitation, the negligence of the agents, employees and instructors working with/for Sara Raymond Dance Academy.
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Yes
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We are putting a max of 12 dancers per class.
Those that have had old punch cards, please contact me and we can figure out which class you would like to finish off your passes - thank you!
Private Lessons (cost can be split with up to 5 people):
30 minutes - $35
45 minutes - $50
60 minutes - $65
Adult Dance Class - Drop In
CA$15.00
Select
Adult Dance 5 week program
CA$50.00
Select
Private Lesson
CA$55.00 - CA$65.00
Select