Spring Workshop Registration
Name:_______________________________________________________________DOB:_________________
Address:___________________________________________________________________________________
Phone:_______________________ Cell:_______________________ E-Mail:___________________________
Previous Training:___________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Spring Workshop Registering For:
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WORKSHOP NAME
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DAY / TIME
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DATES
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TUITION
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The Stretch Workshop
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Saturdays, 9:30-10:30
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May 3, 10, 17 & 31
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$40.00
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Ballroom Session 2: Salsa
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Fridays, 6:30-7:30
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May 2, 9, 16, & 30
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$40.00
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Musical Theater Master Class
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Saturday, 10:00-3:00
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May 3
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$50.00
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~ Single Class Rate: $11.00 ~
RELEASE:
It shall be the responsibility of each student, participant, observer, or any other person upon the premises owned, used, or leased by the Bedford Dance Center to adhere to the policies and guidelines set forth by this studio. Neither the Bedford Dance Center, Karen Pariseau, individually or any other instructor or agent of the Bedford Dance Center shall be liable for any loss or damage to property or bodily injury or death of persons occurring in an activity of the Bedford Dance Center, or related thereto. All damages arising from injuries suffered during activities of the Bedford Dance Center shall be the sole responsibility of each student, a student's parent(s) or a student's guardian(s), whether or not caused or not caused by the negligence or fault of the Bedford Dance Center, Karen Pariseau, or any other agent of the Bedford Dance Center. I/We understand that images and/or likenesses may be used for advertising or promotional materials.
Parent/Guardian Signature:____________________________________________________ Date:___________