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ASDC ABSOLUTE TECHNIQUE INTENSIVE - LEVEL 2 (13 + YRS)
July 30th, July 31st & August 1st (3 days) Time: 10:00am-3:00pm *SPACE IS LIMITED
Fee of 375.00 + HST includes all three days. Student registration is required for the first day only.
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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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I AGREE TO provide my credit card information below and I hereby authorize Art & Soul Dance Company to charge my credit card a one-time purchase in the amount of $423.75.* | |
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Additional Information: |
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Release of Liability
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In the event of accident or injury, I agree to hold harmless Art & Soul Dance Company.
I've read the above and agree.
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Release of Liability
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I agree and understand that my or my child's attendees at any event is considered consent to be photographed and recorded and that all images or self likeness may be used in promotional materials and print media.
I've read the above and agree.
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Payment Policy
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I agree and understand that all registrations (online or in-person) are considered final (i.e. non-refundable).
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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![](images/cc_visa.jpg)
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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Country: *
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City:
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State/Prov: *
Postal Code:*
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