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BALLROOM APPLICATION FORM
Man
Name Man:
Name Woman:
E-Mail Man:
E-Mail Woman:
Landline Man:
Landline Woman:
Cell Man:
Cell Woman:
ID no Man:
ID no Woman
Book class starting:
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April 2008
May 2008
June 2008
July 2008
August 2008
September 2008
October 2008
2009
Area:
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Benoni
Bryanston
Magaliesburg
Midrand
Pretoria
Package:
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Hip-Hop
Latin for Ladies
Group Classes Only
Wedding Package Copper (4 group, 1 Private)
Wedding Package Copper plus (4 group, 2 Private)
Wedding Package Bronze (8 groups, 2 private)
Wedding Package Silver (8 groups, 4 private)
Wedding Package Gold (12 groups, 4 private)
Platinum (12 groupls, 6 privates)
Private Lessons Only
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NOTE: Cancellation policy - Classes that are cancelled at least 7 days before the course is due to start can hold a credit for a another course later on. Classes cancelled less than 7 days before will be forfeited. Under special circumstances classes can be transfered to a friend.
This contract is binding pending one month's notice of termination. Fees are payable in advance and must be paid by the first lesson of each month.
I, the undersigned (e-maill address below), do not hold responsible and herewith absolve the teacher(s) and Elize Krog school of dance from any liability resulting from any injury or loss sustained in any way
All communication with pupils is done via e-mail therefore e-mail addresses supplied above will be automatically subscribed to the pupils mailing list. This is for studio related mails only. Your details will not be divulged to any third parties.
Contact Elise or Robyn
082-955-4604 (Click to call)
or
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