SPRING 2025 Wednesdays Pure Balboa Intermediate Course Registration Form CoursePure Balboa Intermediate, Wednesdays April 16, 23, 30 May 7, 14, 21, 28, 2025InformationDate(s): Wednesdays April 16, 23, 30 May 7, 14, 21, 28, 20257 hours of classes in total over seven weeksTime: 7:00pm to 8:00pmVenue: Studio, Trinity-St. Paul’s United Church and Centre for Faith, Justice and the ArtsAddress: 427 Bloor St W, Toronto, ON M5S 1X7* Use Bloor St. entrance towards west side of buildingAs a courtesy to your teacher(s) and fellow students, please arrive a few minutes early so that you are ready to start right on time.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 ($125)Yes, I am a full-time student ($100)If yes, please show student ID upon arrivalWill you be a follower or leader? *Please indicate your intended roleI will be followerI will be a leaderThis helps us manage lead-follow balance in our lessonsI would like to register and pay for another personPerson's First Name *Person's Last Name *Is this person a full-time student?No, they are not a full-time student ($125)Yes, they are a full-time student ($100)If yes, please show student ID upon arrivalWill this person be a follower or leader? *Please indicate their intended roleThey will be a followerThey will be a leaderThis helps us manage lead-follow balance in our lessonsBilling InformationBilling Name *The name associated with the form of payment. (e.g. name on the credit card)Billing Address *Apartment, suite, etcCity *State/Province *SubtotalHSTCountTotalPayment DetailsNumber of attendees: {calculation-4}Subtotal: ${calculation-2}HST: ${calculation-3}Your TOTAL is: ${calculation-1}Credit / Debit Card **Swing Toronto partners with Stripe for payment processingPay Now