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DANCE OASIS - Registration
Mail with full payment to:
Dance Oasis
Sonora Community Centre
8506 68th Ave.,
Osoyoos, B.C.,
V0H 1V0


Name:______________________________________________________


Address:____________________________________________________


Phone:_____________________________________________________

Student(s) Name                            Age(s)    Program(s)
 

_______________________________  _____    _________

 

_______________________________  _____    _________

 

_______________________________  _____    _________

 

Total payment $__________

Method of payment:

  Cheque
  Cash

Cheque payable to: CHRISSIE SERRY

please read and sign waiver below;

 

___________________________/______________
Parent/ Guardian Signature       / date

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