Register for DancePowered Classes

Dance Powered Fitness Registration

Your spot in class is secured with a Venmo Payment to @JenniferCepeda_Produtions. Please allow time for filing out health & liability waivers upon your first visit.
Customer Details:
Full Name*

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Address*

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example@example.com
Emergency Contact Name *

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What Class Are You Registering For?*

Sunday 10am DancePowered Dance Fitness West SeattleWednesday 6:30pm DancePowered Dance Fitness West Seattle
Please note: If you are registering for the Beginner Workshops, Choreo Fusion Workshops, those have different pricing than my 60 minute classes.
Please Put Me On The Waitlist For:*

Future Beginner WorkshopsUpcoming Foundational WorkshopsInstructor Trainingchoreography workshopsAny Dance Party EventsOther
Date You're Registering For*

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Date
How did you hear about us?*
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Sliding Scale Pricing | 50-60 min dance classes

Please submit your payment for your first class below. Choose between $17-$20. After this payment, please submit all future payments through VENMO. This is a first-time payment form only.
My Products*
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$17 Dance Admission
$17.00



$18 Dance Admission
$18.00



$19 Dance Admission
$19.00



$20 Dance Admission
$20.00



Total

$0.00
Release of Liability:

I agree to receive instruction and to participate in the programs offered by DancePowered. For, and in consideration of my instruction and participation, I release and hold harmless DancePowered from all claims and liability arising from my participation in activities during DancePowered Performances.
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Dance Powered Fitness Registration

Customer Details:

Sliding Scale Pricing | 50-60 min dance classes