Dance Class Registration Form
Classes begin: October 20-December 14, 2019 (8 weeks - 8 lessons)
Event Address: 392 Gibraltar Drive (2nd Floor), Mississauga, ON L5T2P6
Contact us at (905) 795-7774 or dance2therhythm1@gmail.com
Email address *
Student's Name (First Name/Last Name) *
Your answer
Parent/Guardian (Children 3 years old and up) *
Your answer
Student Age (only for Children) *
Your answer
Email *
Your answer
Contact Number: Mobile/Landline *
Your answer
Address *
Your answer
Any medical concerns of which we should be aware *
Your answer
Emergency Contact Name, Phone Number, & Relationship *
Your answer
DANCE TO THE RHYTHM FALL CLASSES
Whether you are a beginner or ready to improve your dance skills, we are to help you build your dance skills! We have dance classes that will fit your busy schedule,

We offer classes for all ages and all levels. Our Instructors are experienced, trained, and certified, are passionate about sharing their expertise with you.

We invite you to come to any of the classes that you are interested in for your next classes with us.

Previous Dance Study and Length *
Your answer
Where?
Your answer
CLASSES FOR KIDS
Note: December 7, 2019 - D2R 6th Year Anniversary Celebration

Milonga La Rosa every 2nd Saturday
D2R Dance Social every 3ed Saturday
Afternoon Tea Dance on November 3, 1- 4 pm.
Check the box *
Required
CLASSES FOR ADULTS
For Beginners, Intermediate, Advanced
Note: New classes for Adults starting Nov. 7
Select your class *
Required
Dance to the Rhythm- 2019 Dance Packages
Group Classes :
8 Registered Group Classes $120
24 Registered Group Classes $280

Drop In Classes
1 Drop in $25
8 Drop in $160
24 Drop in $340

Special
Latin & Ballroom 10- week program $280

Private Classes
4 Intro Private Classes $280
5 Private Classes $475
10 Private Classes $850

PLUS HST (13%)
Go to the website to pay - https://www.dancetotherhythm.ca/shop
I hereby release Dance to the Rhythm Dance Studio, Dance to the Rhythm Instructor/s, Social Events organized by Dance to the Rhythm in/out of the studio from all responsibility for any injury, loss or damage sustained while in class and studio premises BEFORE, DURING and AFTER Dance class. I have also read, understand and agree to the above class payment terms. *
Required
For Parent/Guardian: I hereby release Dance to the Rhythm Dance Studio, Dance to the Rhythm Instructor/s, Social Events organized by Dance to the Rhythm in/out of the studio from all responsibility for any injury sustained by my child while in class, and studio premises BEFORE, DURING and AFTER Dance class. I have also read, understand and agree to the above class payment terms.
Name of Parent and Child Name *
Your answer
Signed today *
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