Unlimited Pass Contract
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Phone Number *
I agree that the Unlimited Pass is valid for one calendar month (not 30 days from purchase). The Unlimited Pass will be valid from the first day of the month to the final day of the month and includes all regular group classes and social dances. *
I would like my first month of the Unlimited Pass to begin on the 1st of *
I agree to have my credit card on file charged automatically on the 1st of each month to cover the fee for the Unlimited Pass. *
I agree that once my credit card has been charged I will not be able to receive a refund for that charge. *
I agree to provide a written cancelation request by the 20th of the month to cancel my Unlimited Pass membership and all future charges associated with that membership. *
I agree that I accept these same policies for all future charges related to the Unlimited Pass. *
By typing your name below, you accept all of the above policies. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ballroom in Boston. Report Abuse