Adult 8 Week Session Registration
Please fill out the registration form carefully. Please use the Note section for any comments or questions you may have so that we can complete your registration.
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Class Selection
Cobourg Adult Ballet Mondays
Brighton Adult Ballet Tuesdays
Cobourg Adult Jazz Mondays
Cobourg Tap (Beginner) Wednesdays AM
Cobourg Tap (Intermediate) Wednesdays AM
Cobourg Tap (Advanced) Wednesdays AM
Brighton Adult Tap Thursdays
Ballroom (Beginner to Year 2) Thursdays 6:30
Ballroom (Year 3-5) Thursdays 7:30
Ballroom (Year 6+) Thursdays 8:30
Social Ballroom Tuesdays Beginner
Social Ballroom Tuesdays with experience
Student 2
Student 2 Name
First Name
Last Name
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Female
Male
Class Selection
Cobourg Adult Ballet Mondays
Brighton Adult Ballet Tuesdays
Cobourg Adult Jazz Mondays
Cobourg Tap (Beginner) Wednesdays AM
Cobourg Tap (Intermediate) Wednesdays AM
Cobourg Tap (Advanced) Wednesdays AM
Brighton Adult Tap Thursdays
Ballroom (Beginner to Year 2) Thursdays 6:30
Ballroom (Year 3-5) Thursdays 7:30
Ballroom (Year 6+) Thursdays 8:30
Social Ballroom Tuesdays Beginner
Social Ballroom Tuesdays with experience
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Please write your comments, questions or concerns below so we can further assist you and complete your registration.
Terms & Conditions
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I do not hold Premiere Dance Cobourg or their instructors and staff liable for any type of injury, damages, or for lost or stolen items.
I agree to comply with all Dress Codes and Poilicies & Procedures as set out by Premiere Dance Cobourg.
I give permission to receive email messages and for videotaping and photography by Premiere Dance Cobourg and the company that they hire.
I give permission for my child's photo and name to be used in advertisements and promotional materials.
I acknowledge and accept that I am not allowed to videotape or record performances without written permission from Premiere Dance Cobourg.
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