WorkShop Signups: Harbour Dance Centre Summer School

Harbour Dance Centre
Workshop Registration Form

JULY 2008
WORKSHOP SESSIONS

Signup below for our ongoing workshops. Class sizes are limited and fill up quickly so please register early to avoid disapointment.

STEP 1: SELECT YOUR CLASSES
Click on the checkbox for each class you would like to participate in.
Intro is Beginner, Level 1 is Advanced Beginner, Level 2 is Intermediate and Level 3 is Advanced.

Classes	Workshop	Days	Times	Dates	Weeks	Rates
Pussy Cat Dolls style Hip Hop for women withJen Oleksiuk	Intro	Saturdays	5:15 - 6:15	July 6 - Aug 19	6wks	• members $72 • non-members $78
Egyptian Belly Dance with Nesrine Adham	Intro	Tuesdays	5:20 - 6:20	July 8 - Aug 12	6wks	• members $72 • non-members $78
	Level 1	Tuesdays	6:30 - 7:30	July 8 - Aug 12	6wks	• members $72 • non-members $78
	Intro	Sundays	3:45 - 4:45	July 6 - Aug 17	7wks	• members $84 • non-members $91
	Level 1	Sundays	5:00 - 6:00	July 6 - Aug 17	7wks	• members $84 • non-members $91
Intro to Street Jazz/ Hip Hop with Jenny Duffy	Intro	Fridays	5:15 - 6:15	July 4 - Aug 8	6wks	• members $72 • non-members $78
Ballet Intro / 1 with Loreli Skinner	Intro / 1	Sundays	12:35 - 2:05	July 6 - Aug 17	7wks	• members $105 • non-members $119
Pussy Cat Dolls style Hip Hop for women with Stephanie	Intro	Sundays	5:30 - 6:30	July 13 - Aug 17	6wks	• members $72 • non-members $78

STEP 2: YOUR CONTACT AND BILLING INFORMATION
Please provide your contact and billing information:

Dancer Information: (The information about the person participating in the summer school)
First Name: Last Name:	Age: (min. 16yrs)
Email:
Address:
City:	Province:
Country:	Postal Code:
Phone:
Harbour Dance Membership Number:

Billing Information: (Only fill out if the billing information is different from the dancer information)
Name:
Email:
Address:
City:	Province:
Country:	Postal Code:
Phone:

Have you signed the Harbour Dance release form? If not, download Harbour Dance Release and Waiver of Liability PDF file here, complete and bring to class with you.

STEP 3: CREDIT CARD & PAYMENT INFORMATION
Your registration is not complete until we have received payment in full.
Please select your payment option below:

Payment Option:	Credit Card Number:	Harbour Dance Centre 927 Granville Street, Vancouver, B.C. V6Z 1L3 Phone: (604) 684-9542 Fax: (604) 684-3253
	Expiry: (mm/yy) /
	Name on Card:

STEP 4: COMPLETE TRANSACTION
Please provide your contact and billing information:

RELEASE AND WAIVER OF LIABILITY HARBOUR DANCE CENTRE

THE FOLLOWING DESCRIBES THE TERMS ON WHICH HARBOUR DANCE CENTRE OFFERS YOU ACCESS TO OUR SERVICES. I wish to participate in a dance and/or fitness class at Harbour Dance Centre. As a condition of Harbour Dance Centre agreeing to allow me to participate in such a dance and/or fitness class, I hereby confirm and agree to the following: 1. I recognize that the dance and fitness classes of the type I intend to participate in at Harbour Dance Centre require physical exertion which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult a physician prior to and regarding my participation in any classes I attend at Harbour Dance Centre. I represent that I am physically fit and have no medical condition that would prevent my full participation in any such fitness or dance class. 3. I agree to take full responsibility for any risks, injuries or damages known or unknown which I incur, or may incur, as a result of participation in any class at Harbour Dance Centre. 4. I knowingly and voluntarily waive any and all claims I have, or may at any time in the future have, against Harbour Dance Centre or any of the instructors, agents, or employees, for any injury or damage that I sustain as a result of my participation in a class at the Harbour Dance Centre.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. I understand that this is NOT REFUNDABLE OR TRANSFERABLE unless acompanied by a Doctor's note.

Note: there are absolutely no refunds, unless for medical reasons the student is unable to take class.
All of the studios have observation windows. We recommend dancers watch a class before participating or come to a drop-in class. We do not offer refunds on our workshops. Students who have registered and paid for the workshop, but withdraw prior to the workshop's start date are entitled to a full refund less an administrative fee of $25.00. If after the first class you are unable to continue the course we may reimburse you minus a $25.00 processing fee or transfer the remainder of your credit towards drop-in classes or another workshop. No refunds will be given after the first week of classes for these workshops. Students may join any of these workshops in the second week, but the workshop fee will not be prorated.

If the participant is under 18, as legal guardian I consent to the above.

Signed (Name of dancer or Guardian for the dancer if dancer under 18 years of age):

Any Questions or Comments?