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Toronto Dance ™ Registration Form (Please print clearly when filling in the form) |
In conjunction with ... |
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| Phone: | _________________ , | __________________ , | ________________ |
| home | business | cell |
| E-Mail: | ___________________________________ |  Male or
Female |
| Address: | _________________________ , | _____ , | _____________ , | _________ |
| street | apt/suite | city | postal code |
| How did you find us (if new student)? (circle one) | Web search | Ad | Flyer | Referral | Business card |
Privacy Information: The above information is kept confidential by Toronto Dance Inc. and Gorete Almeida. The e-mail address will only be used for dance-related information (e.g., class information, parties/outings/events).
Policies: NO refunds, make-up classes or credits for missed lesson on full session registrations. You may pay for fewer classes if you know that you will be away or busy on certain weeks.
| Cost: |
$128/person for 8 classes (8 hours) $20/person/h for a drop-in class |
| Classes: | Eclipse Fitness Club, 2300 Yonge St, Yonge Eglinton Centre (NW corner Yonge & Eglinton, 2nd floor, next to Toys 'R Us) | ||
| ü | TUESDAYS, Oct 14 to Dec 2, 2008 (1 hour/class for 8 weeks) | ||
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Cardio Salsa advanced | $ _____ 7:45 - 8:45pm | |
| ü | THURSDAYS, Oct 16 to Dec 4, 2008 (1 hours/class for 8 weeks) | ||
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Cardio Salsa intermediate | $ _____ 7:15 - 8:15pm | |
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Cardio Salsa beginner | $ _____ 8:15 - 9:15pm | |
By signing this form,
I understand that Toronto Dance Inc., Gorete Almeida or its employees/contractors/helpers are not held responsible for any loss or theft of articles on the premises and are not held liable for injury or health risk sustained in the dance classes. I have read and understood the above Privacy Information and Policies sections. I allow pictures to be taken for promotional reasons.
Signature: _____________________________________ , ___________ 2008 (date)
Pay by cash or cheque (payable to “Gorete Almeida”).
Send (do not fax) registration form and cheque to:
Gorete Almeida, Toronto Dance, 17 Fairfield Rd, Toronto, ON. M4P 1S9
or bring your form and payment to Eclipse Fitness Club if there
are classes going on (call to confirm).