Adult REGISTRATION

Choose Class Date *

Wednesdays July 21 - Sept 1 Beginner Line Dance 7:00-8:00pm Wednesdays September 15th - October 13th Line Dance Beginner 7:00-8:00 Wednesdays September 15th - October 13th Line Dance Intermediate 8-9pm Private Lesson with Sara

Payment *

E-transfer (Each Term must be paid up front. Please send e-transfers to admin@srdanceacademy.ca with the password SRDA2020) Online (Credit Card) - Please go to the online payment page and pay for fees after completing the registration form.

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 & Wedding Choreography (cost can be split with up to 5 people):

30 minutes - $30

45 minutes - $45

60 minutes - $60

Adult Dance Class - Drop In

Adult Dance 6 week program

Private Lesson

204- 6750 N Island Hwy in North Nanaimo