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Toronto Dance ™
Registration Form
(Please print clearly when filling in the form)
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In conjunction with ...
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Name: |
______________________ , |
____________________ |
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last name |
first name |
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Phone: |
_________________ , |
__________________ , |
________________ |
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home |
business |
cell |
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E-Mail: |
___________________________________ |
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 Male or
Female |
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Address: |
_________________________ , |
_____ , |
_____________ , |
_________ |
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street |
apt/suite |
city |
postal code |
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How did you find us (if new student)?
(circle one) |
Web search |
Flyer |
Referral |
Business card |
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Cost: |
$72/person for 7.5 hours over 6 weeks ($9.60/h).
$15/person/h for a drop-in/try-out class.
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| Classes: |
Ritmo Flamenco Dance Studio, 294 College St. West
(at Spadina Ave)
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ü
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TUESDAYS, Nov 4 - Dec 9 (7.5 hours/6 weeks) |
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Lindy Hop Beginner 2 |
$ _____ 6:00 - 7:15pm |
| Classes: |
Mad for Dance Studio, 263 Adelaide St West, Suite B-10 (basement)
(at John St)
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ü
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WEDNESDAYS, Nov 5 - Dec 10 (7.5 hours/6 weeks) |
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Lindy Hop Beginner 1 |
$ _____ 6:00 - 7:15pm |
By signing this form,
I understand that Toronto Dance ™, Dance With Alana or its
employees/contractors/helpers are not held responsible for any loss
or theft of articles on the premises and are not held liable for injury
or health risk sustained in the dance classes or any dance outings organized
by Toronto Dance. I allow pictures to be taken for promotional reasons.
Signature:
_____________________________________ , ___________ (date)
Pay by cash or cheque (payable to “Alana Hock”).
Send registration form and cheque to:
Toronto Dance, Suite 3107, 38 Elm St., Toronto, ON. M5G 2K5
416-598-4077, torontodance@hotmail.com, www.torontodance.ca
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