| Name: | ______________________ | ____________________ |
|
Registration Form 2010 |
| first name | last name |
| 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. The e-mail address will only be used for dance-related information (e.g., class information, Toronto Dance parties/outings/events).
Cancellation Policy: Full refund minus a $10 administrative fee for cancellations at least 2 weeks prior to the start date of the class. Cancellations between 2 weeks before class and the end of the second class receive a 50% credit. No credits after the second class. No refunds for missed classes.
| Cost: |
$126/p for 9 hours over 9 weeks ($14/h) for new students.
$252/couple. $117/p ($13/h) for past Toronto Dance students. $90 when repeating. |
| Classes: | The Adelaide Club, First Canadian Place (Bay & Adelaide area) | ||
| ü | SUNDAYS, 9 hours over 10-11 weeks, No class on Feb 14 (Valentine's Day) | ||
|
Latin-Ballroom level 2 | $ _____ 12:30 - 1:30pm (Jan 10-Mar 14) | |
|
Latin-Ballroom level 1 | $ _____ 1:40 - 2:40pm (Jan 17-Mar 21) | |
| ü | TUESDAYS, Jan 5 - Mar 2, 9 hours over 9 weeks | ||
|
Latin-Ballroom level 3 | $ _____ 6:50 - 7:50pm | |
| ü | THURSDAYS, Jan 7 - Mar 4, 9 hours over 9 weeks | ||
|
Latin-Ballroom level 2 | $ _____ 9:00 - 10:00pm | |
| ü | FRIDAYS, Jan 22 - Mar 19, 9 hours over 9 weeks | ||
|
Latin-Ballroom 1 for 35+ yo | $ _____ 6:15 - 7:15pm | |
| Classes: | Toronto Athletic Club, TD Waterhouse Tower (Bay & Wellington area) | ||
| ü | THURSDAYS, 9 hours over 9 weeks | ||
|
Latin-Ballroom level 1 | $ _____ 7:00 - 8:00pm (Jan 14-Mar 11) | |
|
Ballroom-Variations level 5 | $ _____ 8:10 - 9:10pm (Jan 7-Mar 4) | |
By signing this form,
I understand that Toronto Dance Inc. 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 or any dance outings organized by Toronto Dance. I have read and understood the above Privacy Information and Cancellation Policy sections. I allow pictures to be taken for promotional reasons.
Signature: _____________________________________ , ___________ 2010 (date)
Pay by cash or cheque (payable to “Chuan Chee”).
Send (do not fax) reg form and cheque to:
Chuan Chee, Toronto Dance Inc., 38 Elm St., Suite 3107, Toronto, ON. M5G 2K5