Leah Silva October 5th 2024 - Registration Form

MonthDayYear
Date
LEAH SILVA (From California, US)

Advanced Master Class
SOLD OUT!!

** WAITING LIST ** : Register now, and we will contact you if a spot becomes available

OCTOBER 5th, 2024

Time: 11am - 12.30pm

Location: Decidedly Jazz Danceworks - #111 - 12 Avenue SE

Studio 6 (5th Floor)

Please visit our website for detailed information
This is an ADVANCED level Master Class. High intermediate level dancers are also welcome to join if they wish to challenge themselves.
Please select your current level*

High INTERMEDIATE (3+ Years of experience)ADVANCED (5+ Years of experience)
Student Information
Full Name*

First NameLast Name
Affiliated studio (If Applicable)
Date of Birth*

MonthDayYear
Date
Age
Email Address
example@example.com
Preferred Email Address for communication (Registration confirmation, etc.)*
example@example.com
Phone Number*
Please enter a valid phone number.
Please list any medical conditions, physical limitations or allergies*
Emergency contact or Parent/Guardian (If minor) information
Full Name*

First NameLast Name
Relationship to student*
Phone Number*
Please enter a valid phone number.
Email address
example@example.com
Student's Background Experience
Tap teachers, and years of study
How did you hear about the Master Class?*

FacebookInstagramWord of mouthEventbriteGoogle searchTri-Tone dancer referral*Email marketingOther
*Name of Tri-Tone dancer referral (If applicable)
Membership
*NEW MEMBERS - Join today & take advantage of discounts & other perks!

TTRS Participant membership (Valid 1 year) - $25.00 CAD
*Tri-Tone Rhythm Society (TTRS) advances and celebrates rhythm tap and percussive arts in the City of Calgary and abroad through education and presentation.
Master Class fee
Please select one of the following:*

NON Member - $50.00 CADTTRS MEMBERSHIP rate - $40.00 CADTri-Tone Rhythm Ensemble Dancer - $25.00 CAD
Payment
MASTER CLASS FEE - Select Payment Type*

E-transfer (Preferred): tasha@tashalawson.com *Please Include "STUDENT NAME" in notes section of e-transfer (Please send the same day of form)Paypal/ Credit Card: tasha@tashalawson.com *Please note that an additional 4% Paypal fee applies/ Will be automatically added to your total amount below when select this payment type)
GST (5%)
TOTAL
MEMBERSHIP FEE - Select Payment Type*

E-transfer (Preferred): office@tritonerhythmsociety.com *Please Include "STUDENT NAME" in notes section of e-transfer (Please send the same day of form)Paypal/ Credit Card: office@tritonerhythmsociety.com *Please note that an additional 4% Paypal fee applies/ Will be automatically added to your total amount below when select this payment type)
TOTAL
Waivers
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LEAH SILVA (From California, US)

Student Information

Emergency contact or Parent/Guardian (If minor) information

Student's Background Experience

Membership

Master Class fee

Payment

Waivers