Registration Form - Dance Plus Lumsden

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Please register below for our 8 week session classes
All classes are on Monday's, starting on Oct. 17th and concluding on Dec. 12th, 2022 (no classes on Oct. 31st)
Classes are held at the Lumsden Dance Studio: 120 River St.
8:30-9:00pm - Adult Jazz Class
9:00-9:30pm - Adult Tap Class

Full payment is due with registration and can be paid by:
Etransfer to: www.danceplussubmit@hotmail.com
or paid in cash or cheque to: Dance Plus at the first class.
Note: Withdrawals will be permitted until the second class with a partial prorated refund

Please call Deanna at (306)949-6104 if you have any questions

- Please provide your email address below for information purposes only:

Email *

First Name: *

Last Name: *

Phone Number (Main Contact): *

Any medical information we should be aware of?

Classes you would like to register for: *

Adult Jazz Class

Adult Tap Class

Required

Class Cost: $80.00 for the 8 week session (per class) Full payment due with registration *

Adult Jazz - $80.00

Adult Tap- $80.00

Required

Please visit the following link to read the Dance Plus Waiver, Release of Liability, and Indemnity Form. Once completed, please click the box below: https://12d4b9b4-5e00-bec3-947d-e1b724f7a8d4.filesusr.com/ugd/a67ea9_087c91086b1441b3b8d6974292ddbcb6.pdf *

I have read and agreed to the Dance Plus Waiver, Release of Liability, and Indemnity

Required

A copy of your responses will be emailed to the address you provided.

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