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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Sundays 11:00-12:00 Beginner Line Dance Jan 11 - Feb 22 $70 for 6 weeks
Sundays 12:00-1:00pm Beginner West Coast Swing Jan 11 - Feb 22 $70 for 6 weeks
Mondays 7:00-9:00pm Intermediate Level 2 West Coast Swing Jan 12 - Feb 23 6 weeks $140
Tuesdays 8:30-9:30pm West Coast Swing 1.5 - Jan 13 - Feb 17 $70 for 6 weeks
Wednesdays 7:30-8:30 Beginner Line Dance Jan 14 - Feb 18 6 weeks $70 - SOLD OUT
Wednesdays 8:30-9:30 Intermediate Line Dance - Jan 14 - Feb 18 - 6 weeks $70
Payment
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E-transfer (Each Term must be paid up front. Please send e-transfers to
[email protected]
)
Cash
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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