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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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