Language
English (UK)
Extension Classes at Eastminster ~ March 30 - May 18
• Arrive at 7pm for screening • Classes are 7:30-9:30 • Eight Classes: $80
Dancer 1: Full Name, please
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Address (incl. Postal Code)
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Complete contact info is required for Testing & Tracing should the need arise
Dancer 1 email
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(The person submitting this form)
Primary phone number
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Dancer 2: Name & email if applicable
Payment Options
Two options: pay now by E-Transfer (preferred) or by cheque or cash at your 1st class
Dancer 1 payment option
*
E-Transfer to rscdsta@gmail.com
Cheque or cash at 1st class
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Dancer 2 payment option
E-Transfer to rscdsta@gmail.com
Cheque or cash at 1st class
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Comments?
Covid-19 Vaccination Affirmation
Are you fully vaccinated (incl.at least 1 booster) and you have proof to show on entry?
Vaccination Status
*
YES, Double-Vaxxed + boosted
NO, not Double Vaxxed + boosted
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