Rhythm in Rows

Rhythm in Rows January 29-31, 2027 - Register Today!
Location: 256 Legion (east wellington rd)

To register, please fill out this form. Once done, please go onto our online payments page if you want to pay via credit card. Thank you!

Registration Form Dance Event

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Rhythm in Rows Options *

Full Weekend Pass $150 Full Weekend Pass Jr. (under 17yrs) $130

Payment (due upon registration) *

Online Credit Card E-transfer

There are no refunds once fully registered in the program. However - you can sell your pass to someone else. *

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

I hereby authorize the owner of Sara Raymond Dance Academy, the employees, volunteers, and subcontractors to medically assist you in case of emergency. * *

Yes

We the guarantor, if applicable, on behalf of ourselves, members of our family, 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

Comment *

Submit

Rhythm in Rows January 29-31, 2027 - Register Today!​Location: 256 Legion (east wellington rd)

To register, please fill out this form. Once done, please go onto our online payments page if you want to pay via credit card. Thank you!

Registration Form Dance Event

204- 6750 N Island Hwy in North Nanaimo

Rhythm in Rows January 29-31, 2027 - Register Today!
Location: 256 Legion (east wellington rd)