ConfiDanse DROP IN

Summer Drop in Registration BOGO

Open Level Heels W/ Dorian | Wednesdays 6:00-7:00PM Student Heels (Different student every week) | Wednesdays 7:00-8:00PM
Name

First NameLast Name
Date of birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number. ConfiDanse will text the door code upon registrationFormat: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Level of Experience
BOGO is for ONE dancer to access Dorians drop in and the student led drop in for the price of one
Terms and Conditions:

By submitting this form, I acknowledge that participation in dance classes involves physical activity and I hereby release ConfiDanse studio and its instructors from any liability for injuries or accidents that may occur during classes or events.

Bu submitting this form, I allow ConfiDanse to take videos and photos which may result in being used for promotional purposes.
Signature
Date signed

MonthDayYear
Date
Summer Drop In BOGO

$21.00

** Email Transfer to confidanseinfo@gmail.com

within one hour to complete registration **

**PLEASE SCREEN SHOT THE CONFIRMATION PAGE, THIS HAS THE DOOR CODE ON IT TO ACCESS THE BUILDING*
Should be Empty:

Summer Drop in Registration BOGO