Line Up and Dance! with Gerard - Registration Form

Please complete this form to book your spot. Then, be sure to eTransfer your registration fee to dance@trybarefoot.com (see Weekly Classes at gerardmurphy.weebly.com for fees) . Alternatively, you can bring cash on the first night.

Once this form is received you will be added to our confirmed list of registrants. Space is limited.

Question Title

* 1. Type below on 3 separate lines (please include ALL information):
a) your name (first and last)
b) your email address
c) your telephone number
d) payment method: either eTransfer OR cash on the first night

Question Title

* 2. Which class are you registering for:

Beginner (Level 1) - Tuesdays: 6:30pm to 7:45pm, Multi-purpose Room (2nd Floor)

Intermediate (Level 3) - Tuesdays: 7:30pm to 9:00pm, Multi-purpose Room (2nd Floor)

Novice (Level 2) - Thursdays: 7:15pm to 8:45pm, Arts & Crafts Room (2nd Floor)

Question Title

* 3. I plan to attend the Back to Dance – September Social Night on Tuesday, September 19th between 6:30pm to 8:30pm (Multi-purpose Room - 2nd Floor). Drop-in fee, at the door: $9.00 per dancer

Yes

Line Up and Dance! with Gerard - Registration Form

Question Title

* 1. Type below on 3 separate lines (please include ALL information):a) your name (first and last)b) your email addressc) your telephone numberd) payment method: either eTransfer OR cash on the first night

Question Title

* 2. Which class are you registering for:

Question Title

* 3. I plan to attend the Back to Dance – September Social Night on Tuesday, September 19th between 6:30pm to 8:30pm (Multi-purpose Room - 2nd Floor). Drop-in fee, at the door: $9.00 per dancer

* 1. Type below on 3 separate lines (please include ALL information):
a) your name (first and last)
b) your email address
c) your telephone number
d) payment method: either eTransfer OR cash on the first night