Online Registration for Charleston / Inscription en-ligne pour Charleston

Routines Tuesday/Mardi	$30 Course Fee/ Prix Régulier
3 weeks/ 3 semaines June 8, 15, 22 7:30pm - 8:30pm	$15 Drop-in Pay at the door / Payez à la porte
Don't forget our discounts!	All rebates applicable after you have registered and paid your deposit Pre-Payment: $10 rebate for 6 week classes when you register at least 7 days in advance Repetition: 50% rebate - available for all classes Referral: $10 for EVERY person referred to a Swing 1 class

1. Personal Information / Information Personnelle

First Name/ Prénom:
Last Name/Nom de famille:
Address/Adresse:
City/Ville:
Province: Postal Code/Code Postal:
Telephone:
Email/Courriel:
Birthday/Anniversaire:

2. Payment Information / Information de Paiement

Method of payment/Mode de paiement:

Cash/Argent Comptant Paypal Check/Chèques

(Please make checks payable to Lindy Land Swing)
(Chèques à l’ordre de Lindy Land Swing, svp.)

Maximum capacity 4 dancers / Capacité maximale de 4 danseurs.
If necessary to maintain a balanced partner ratio (followers:leaders) a waiting list will begin for dancers who have not reserved their space. // Si besoin, pour maintenir un ratio de balance (cavalier:cavalière), une liste d’attente sera créée pour les danseurs qui n’ont pas encore réservé leur place.