WEDNESDAY, SEPTEMBER 16

BURLINGTON PERFORMING ARTS CENTRE

Community Studio Theatre

DANCE LIKE A STAR

Give It A Try

1:00 - 3:30 pm

A jazz dance class perfect for beginners who want to move, perform and feel like a star in a supportive and upbeat environment

SUNDAY, SEPTEMBER 27

BRANT HILLS COMMUNITY CENTER

Community Room 2

CHAIR TAP

Tap into Wellness

(Level 1) 1:00 - 1:50 pm

A beginner-friendly seated tap movement workshop

Rhythm for Every Body

(Level 2) 2:30 - 3:20 pm

An inclusive chair tap experience for adults of all ages and abilities

ATTIRE: Loose comfortable clothing. Tap shoes not required.

Adults (21+) of all abilities are welcome. Space is limited.

REGISTRATION FORM

Download and complete the registration form for your choice:

Adults Workshops Registration Form

To register or for more information:

Note: Adults (21+) of all abilities are welcome. Space is limited.

First name

Last name

Address

Phone

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Emergency Contact:

Emergency Contact First Name

Last Name

EC-Phone

Which session(s) will you attend?

DANCE LIKE A STAR: Give It A Try / Jazz Dance, perfect for beginners.

CHAIR TAP: Tap into Wellness (Level 1) / A beginner friendly seated tap movement workshop.

CHAIR TAP: Rhythm for Every Body (Level 2) / An inclusive chair tap experience for adults of all ages and abilities.

WAIVER:

I, the undersigned, personally and on behalf of my heirs, executors, administrators, and assigns, hereby release and forever discharge the following:

Burlington Footnotes and
All sponsors, organizers and volunteers of said organizations, their respective officers, directors, agents, representatives or successors, from any and all claims or demands that I have or my heirs, executors, administrators, assigns or any third party may have for personal injuries and property damage of any nature whatsoever, arising by reason of my participation or volunteering at any level of the organization's programs.
I understand that any videos or photographs taken may be displayed on the Burlington Footnotes and the City of Burlington website, used for promotional purposes and/or social media.
I consent to receive e-communications from the Burlington Footnotes.

I have read the above, understood it and my signature confirms its acceptance. I attest and verify that I have full knowledge of the risks involved in my participation and I am physically fit and able to participate in said workshops.

Type your full legal name, or sign using your mouse, finger, or an uploaded signature image, to confirm your agreement to the waiver above. This will serve as your electronic signature.

Date of submission will be recorded automatically upon registration.

Signature

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