Clone of 18 January 2026 WCS Keeners Club Registration

Future Keeners: 18 January 2026 Diagnostic & Development Plan session

The fist session of the revamped WCS Keeners Club!
Number of people attending (up to 2 per registration)*
Registrant 1*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Registrant 2

First NameLast Name
E-mail
example@example.com
Mobile Number
My Products
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Follow Role
$30.00CAD Quantity

Lead Role
$30.00CAD Quantity

Total

$0.00CAD
WAIVER:

By signing below and submitting this registration, you and all named registrants voluntarily agree to participate in physical activity (West Coast Swing dancing).

You release all third parties from liability in the case of injury or loss, including Maria Ford (instructor), assistants/staff, and Flava Factory (dance studio).

CANCELLATION POLICY:

You also confirm that you have read and agree to this Cancellation & Refund Policy.
Signature*

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I understand that my spot is NOT CONFIRMED until I send my payment via etransfer to maria@smoothstyle.ca*

I have sent my payment
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Future Keeners: 18 January 2026 Diagnostic & Development Plan session