Registration form
For Sylvain Brochu's yoga and dance classes held at Waldorf Ballet
Name *
Your answer
Email *
Your answer
Phone number(s) *
Your answer
Emergency contact (name and phone number) *
Your answer
I would like to register for the following class(es) *
All classes at Waldorf Ballet - Units 102 & 201 5590 Wharf Avenue Sechelt
Required
I understand that my spot in the class(es) will only be secured once payment is received. *
Required
Payment options *
(You will be notified once payment is received)
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In consideration of my participation in this activity, I hereby release and discharge Sylvain Brochu, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I may suffer as a result of my participation in this activity. *
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