Participant Registration Form

Welcome to a space designed to build confidence, movement, and self-expression. Move boldly, dance freely, and be unapologetically you. No dance experience required—just bring your energy and get ready to own the floor!
Beginner Heels Dance

This class is designed for absolute beginners and anyone looking to try something new, embrace their confidence, and learn the basics in a supportive, body-inclusive, and judgment-free space. No dance experience required!

What's included?

Full 4 Week Series: Total cost $100.00

•Friday evenings from 7:15 to 8:45 pm.

•Starting August 7th until August 28th.

•Location: Studio Local in Gimli.

What to bring to class:

•Heels, water bottle, and knee pads are encouraged.
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Date of birth

MonthDayYear
Date
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Participant
To secure your spot, payment must be made in full prior to your start date.

How to pay:

e-Transfer (Preferred): Please send the full program amount or drop in class fee to katie.95.adam@gmail.com and include your full name in the memo. If you are doing a drop-in class please indicate which class/date you are reserving your spot for.

Cash: Cash is also accepted! If you would like to pay with cash, please send an email to make those arrangements.

Thank you!
Have you taken a heels dance class before?
Do you have any health conditions or physical limitations? If yes, please explain in detail.
What other days/times work best for your schedule if more classes are added in the future?
Tell me what made you say 'yes!' to signing up for this class, and what would make this experience a 10/10 for you?

​Welcome to a space designed to build confidence, movement, and self-expression. Move boldly, dance freely, and be unapologetically you. No dance experience required—just bring your energy and get ready to own the floor!

Liability Waiver & Participation Agreement

Welcome to a space designed to build confidence, movement, and self-expression. Move boldly, dance freely, and be unapologetically you. No dance experience required—just bring your energy and get ready to own the floor!