S4P 4J7
Absolute Beginner Group Dance Lessons
Registration Form (Please Print)
Name ______________________________________________________________
Address ______________________________________________________________
______________________________________________________________
Postal Code ______________________________________________________________
Telephone ______________________________________________________________
Email Address ______________________________________________________________
Registraton for o Individual o Couple
o Male o Female
I / We would like to enroll in the following:
Session 1 - Sep 18 - Oct 23 o Full Session - 6 weeks - $25 o Half Session (Two Step) - 3 weeks - $15
o Half Session (Jive) - 3 weeks - $15
Session 2 - Oct 30 - Dec 4 o Full Session - 6 weeks - $25 o Half Session (East Coast) - 3 weeks - $15
o Half Session (Waltz) - 3 weeks - $15
Mail completed Registration Form AND Payment to address listed at top of form
Make Cheques payable to Regina Dance Productions
Registrations are processed on a 1st come 1st served basis
Maximums for Men and Women in each class