Adult Classes Drop-In Form
Email address *
Family Information
First Name
Your answer
Last Name
Your answer
Contact Number
Your answer
Student's Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Chosen Class *
How many Drop-In Classes do you want? e.g. 5 weeks *
Your answer
Your preferred dates for your Drop-In Classes? e.g. Feb. 9, 12, 19, 26 & March 4 *
Your answer
Mode of Payment *
PAYMENT METHOD
Option # 1: You can pay your performers fee in CASH we ask that you print a copy of your performers invoice directly from JackRabbit. Place the printed invoice with exact cash in a clearly marked (your performer's name), sealed envelope. Afterwards, email us on cpdspayments@gmail.com to receive your receipt and class/es confirmation and schedule.

Option # 2: You can pay your performer's fee by CHEQUE we ask that you print a copy of your performers invoice directly from JackRabbit place your printed invoice and cheque made payable to Centre Pointe Dance Studio in a clearly marked envelope showing your child's name. Afterwards, email us on cpdspayments@gmail.com to receive your receipt and class/es confirmation and schedule.

Option # 3: You can pay your performer's fee by electronic funds transfer see details below:

Electronic Funds Transfer:

This process is called a Domestic Funds Transfer.

If you do not bank with CNB please remove hyphen and space when stating the account number.

Banking Details are as follows:

Anita Gough T/A Centre Pointe Dance Studio
Account # 011-12447
Cayman National Bank
Elgin Avenue

Once payment is transferred, kindly email us your screenshot/receipt to cpdspayments@gmail.com for us to acknowledge.

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Please remit this balance at your earliest convenience. We thank you for your consideration and prompt payment.
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