Dance with Mike and Sanna

Learn to dance ballroom, country & latin and have FUN too!!!

REGISTRATION FORM Session: FALL, Sept. 2017 Name: ( First) (Last) Partner’s name

Email address: Partner email: print clearly

Tel No. Home Work Cell Tel No. Home Work Cell

** Please check (circle) location ______NORTH (Wed): Scandinavian Cultural Centre, 739 – 20 Ave NW, Calgary ______SOUTH (Mon): River Park Church, 3818 – 14A St SW Calgary (near Marda loop,Crowchild & 33 rd Ave)

Level 1 - novice + beginner Never danced before & basic technique review Level 1.5 - beginner + intermediate Know the basic steps of the dances being taught, prep for Level 2 Level 2 - intermediate + advance Good execution of basic steps & intermediate patterns

Please check dances below and pay appropriate fees. Level 1 ____ Level 1.5____ Level 2 ____ Amount $______Date______

NORTH- 10 W ed +2 Thurs LEVEL 1+ 1.5 LEVEL 2 Rate/couple Rate/single Dates (2017) 6:45 -8:15 p.m. 8:15 – 9:45 p.m. Sep 13, 20, 27 Oct 4 Waltz Waltz $ 135.00 $70.00 Oct 11, 19(thurs), 25, Nov 1 Cha cha Cha cha $ 135.00 $70.00 Nov 8, 16(thurs), 22, 29 Bachata Bachata $ 135.00 $70.00

SOUTH - 11 Mon+ 1 Wed LEVEL 1 + 1.5 LEVEL 2 Rate/couple Rate/single

Dates (2017) 6:30 -8:00 p.m. 8:00 – 9:30 p.m. Sep 11, 18, 25 Oct 2 ** Waltz Waltz $ 135.00 $70.00 Oct 16, 23, 30, Nov 6 Cha cha Cha cha $ 135.00 $70.00 Nov 13, 20, 27, *29 @North Bachata 3S. +1North Bachata 3S. +1North 135/ 102(3wks) 70/52(3wks) Drop in fees/class (first 2 wks) 35.00/18.00 (last 2 wks) 42.00/22.00 >>>>> $35 / $42 $18 / $22

** no class Oct 9 Thanksgiving Day . No refund on fees and we reserve the right to merge or cancel the class if minimum is not met** Waiver I agree that I hereby release and forever discharge Mike and Sanna Foreman from any and all actions, causes of action, claims and demands whatsoever in law or in equity which I, my heirs, executors, administrators or assigns can, shall or may have reason of damage, loss or injury to my person or property howsoever caused, including negligent acts. Which hereafter may be sustained by myself or arise as a result of receiving and taking any and all instruction from Mike and Sanna Foreman, or arising as a result of my attendance at classes, workshops, social functions or other events as they may occur. I acknowledge that the nature of the services provided by Mike and Sanna Foreman are physical in nature and I hereby assume full responsibility for my own health, safety and well-being.

______Signature Partner’s Signature Date

Please return this registration form + your cheque payable to: Sanna Foreman (Note: NSF cheque fee $20.00) Mail to: Sanna Foreman, 500, 906 – 12 Ave SW, Calgary, AB T2R 1K7 For more information, please call Sanna Foreman at (403) 620-8633, or email [email protected] www.DanceWithMikeAndSanna.ca