| 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: | Danforth Baptist Church, 60 Bowden St. (Danforth & Chester area) | |||
| ü | MONDAYS, Jan 4 - Mar 8, 9 hours over 10 weeks No classes on Feb 15 (Family Day) | |||
|
Tango level 9 | $ _____ 7:00 - 8:00pm | ||
|
Foxtrot level 9 | $ _____ 8:00 - 9:00pm | ||
|
Latin-Ballroom level 2 | $ _____ 9:00 - 10:00pm | ||
| Classes: | Eastminster United Church, 310 Danforth Ave. (Danforth & Chester area) | |||
| ü | WEDNESDAYS, Jan 13 - Mar 10, 9 hours over 9 weeks | |||
|
Latin-Ballroom level 1 | $ _____ 7:00 - 8:00pm | ||
|
Salsa-Nightclub 1 for LB students | $ _____ 8:00 - 9:00pm | ||
| Classes: | Adelaide Club and Toronto Athletic Club | |||
| ü | SUNDAYS, TUESDAYS and THURSDAYS, click here | |||
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