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 7:30-8:30pm Sept 9 - Nov 4th $80 per person 7 weeks
Monday Intermediate West Coast Swing 8:30-9:30pm Sept 9 - Nov 4th $80 per person 7 week course
Tuesday Intermediate Urban Kiz 7:30-8:30pm Sept 10th - Oct 1st $50 per person 4 weeks with Tone and Crystal
Tuesday Beginner Urban Kiz 8:30-9:30pm Sept 10th - Oct 1st $50 per person 4 weeks with Tone and Crystal
Wednesday Beg Line Dance 7:30-8:30pm Sept 11 - Oct 23rd $80 per person 7 weeks
Wednesday Int Line Dance 8:30-9:30pm $80 per person 7 weeks
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
