For Sylvain Brochu's yoga and dance classes held at Waldorf Ballet
Emergency contact (name and phone number)
I would like to register for the following class(es)
All classes at Waldorf Ballet - Units 102 & 201 5590 Wharf Avenue Sechelt
Contemporary Dance Tues - 5:30 to 6:45 - Nov 6th to Dec 18 - $119
Contemporary Dance Wed - 11:15 to 12:30 - Nov 7th to Oct 19 - $119
Vijnana Yoga - Wed - 9:30 to 11:00 - Sept 7th to Dec 19 - $119
I understand that my spot in the class(es) will only be secured once payment is received.
(You will be notified once payment is received)
cheque made payable to Sylvain Brochu sent to 991 Rosamund road Gibsons BC V0N 1V3
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.
I have read and reviewed the above waiver and agree to it's content.
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