Adult REGISTRATION

SARA RAYMOND DANCE ACADEMY

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Adult Registration Form/ Schedule

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Choose Class Date *

Monday Beginner West Coast Swing Mondays 7:30-8:30pm 6 weeks April 14 - May 12 cost: $50 Monday Intermediate West Coast Swing Mondays 8:30-9:30pm 6 weeks April 14 - May 12 $50 Tuesdays West Coast Swing Level 1.5 $70 for 6 weeks April 15- May 20 Wednesdays Beginner Line Dance 7:30-8:30pm 6 weeks April 16 - May 21 cost $70. Wednesdays Intermediate Line Dance 8:30-9:30pm 6 weeks April 16 - May 21 $70

Payment *

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. *

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

Comment *

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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

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Adult Dance 5 week program

CA$50.00

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Private Lesson

CA$65.00 - CA$80.00

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