January 4, 2024 Blues Dance Workshops Registration Form WorkshopThursday, January 4, 2024 Blues WorkshopsSelect your workshop(s) *Select your workshop(s)PACKAGE: BOTH Blues WorkshopsSolo Blues Dance ONLYBlues Dance Fundamentals ONLYInformationInformation for both workshops: Date(s): Thursday, January 4, 2024Solo Blues Dance Workshop: 6:15pm to 7:15pmBlues Dance Zero to Hero Fundamentals Workshop: 7:30pm to 10:10pmVenue: Top Floor, Dovercourt HouseAddress: 805 Dovercourt Road, Toronto, ON M6H 2X4Selected Package{select-3}Do you intend to follow or lead? *Select your intended role...I will be a followerI will be a leaderThis to ensure lead-follow balance in the Blues Dance Zero to hero Fundamentals workshop.Your First Name *Your Last Name *Your Email Address *A receipt and confirmation will be sent to this email address.Are you a full-time student?No, I am not a full-time student ($50)Yes, I am a full-time student ($40)If yes, please show student ID upon arrivalAre you a full-time student?No, I am not a full-time student ($20)Yes, I am a full-time student ($15)If yes, please show student ID upon arrivalAre you a full-time student?No, I am not a full-time student ($40)Yes, I am a full-time student ($35)If yes, please show student ID upon arrivalSelected Package{select-3}I would like to register and pay for another personDoes this person intend to follow or lead? *Select the intended role...They will be a followerThey will be a leaderThis to ensure lead-follow balance in the Blues Dance Zero to hero Fundamentals workshop.Person's First Name *Person's Last Name *Is this person a full-time student?No, they are not a full-time student ($50)Yes, they are a full-time student ($40)If yes, please show student ID upon arrivalIs this person a full-time student?No, they are not a full-time student ($20)Yes, they are a full-time student ($15)If yes, please show student ID upon arrivalIs this person a full-time student?No, they are not a full-time student ($40)Yes, they are a full-time student ($35)If yes, please show student ID upon arrivalSelected Package{select-3}Billing InformationBilling Name *The name associated with the form of payment. 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