Adult REGISTRATION

Choose Class Date *

Private Lesson with Sara (Please book prior to signing this page for availability) Mondays Level 2 Line Dancing 2:00-3:00pm June 5 - 19 classes - $30 Mondays West Coast Swing Level 1 7:30-8:30pm June 5 - June 19 $30 per person Mondays West Coast Swing Level 2 8:30-9:30 June 5th - June 19th $50 per person Tuesdays West Coast Swing Level 2 7:30-8:30 May 23 - June 13 $40 per person Tuesdays Two Step Level 8:30-9:30pm May 23- June 13 $40 per person Wednesday Level 1 Line Dance 7:15-8:15pm May 31 - June 14th $40 per person Wednesday Level 2 Line Dance 8:15-9:15pm May 31 - June 13th $40 per person Mondays Level 1 West Coast Swing 7:30-8:30pm June 10 - June 31st $40 Mondays Level 2 West Coast Swing 8:30-9:30pm July 10th - July 31st $40 per person Tuesdays Level 3 West Coast Swing 7:30-8:30pm July 11 - Aug 9th $60 per person Tuesdays Two Step 8:30-9:30pm July 11 - August 9th $60 per person Wednesdays Line Dance Level 1 7:15-8:15pm July 12 - Aug 16th $60 per person Wednesdays Line Dance Level 2 8:15-9:15 July 12 - August 16th $60 per person

Payment *

E-transfer (Each Term must be paid up front. Please send e-transfers to admin@srdanceacademy.ca with the password SRDA2020) Cash Cheque

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. *

Yes

I understand that if I am not feeling well that I must miss the dance class until once feeling better. *

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. *

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. *

Yes

Adult Registration Form/ Schedule

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

Adult Dance 5 week program

Private Lesson

204- 6750 N Island Hwy in North Nanaimo