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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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Address: |
_________________________ , |
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street |
apt/suite |
city |
postal code |
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Cost: |
$150/person for 10 hours over 10 weeks ($15/h).
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$135/person for current & past Toronto Dance students ($13.50/h).
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$20/person for trying out one class ($20/h).
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Check with us for further discounts when you register for two or more Toronto Dance classes.
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Classes: |
Violetta's Dance Place, 30 Tycos Drive (Dufferin & Glencairn)
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WEDNESDAYS, May 14 to July 16, 2003 (1 hour/class for 10 weeks)
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Salsa-Nightclub Beginner 1 |
$ _____ 8:00 - 9:00pm |
By signing this form,
I understand that Toronto Dance ™ , Violetta's Dance Place 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. I allow pictures to be
taken for promotional reasons.
Signature:
___________________________________ , ___________
(date)
Pay by cash or cheque (payable to “Violetta's Dance Place”).
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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