ASDC THE ACRO INTENSIVE - ALL LEVELS & AGES 5 +YRS August 1st, 2nd & 3rd (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.
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State/Prov: * Postal Code: *
Students entered below will be added to your family's account
Please indicate whether you are registering for Level 1 or Level 2. Please specify personal skill level, aerials, tumbling skills etc.*
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 $367.25.*
Additional Information:
Release of Liability
  (Show-Hide Details)
I've read the above and agree.
Release of Liability
  (Show-Hide Details)
I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
Country: *
City: State/Prov: * Postal Code:*