Jannahdancer dance centre 

Ladies' Night Registration*  

     *2nd page waiver signed at event

February 5

Ladies' Valentine's Prep Night (feat'g Elisabeth) POLE*/CHAIR DANCE MOVES,

quickie nail fix/hand massage, Sacral cranial relaxation, Tarot readings... ALL FOR ONLY $35   !!!   

*Elisabeth's safe teaching method has just been recognized as our national standard by CanFitPro!!!! Come out to see this award-winning pole dancer teach us a few sensual (but safe!!) moves.

Name (print please):                                                           DATE:

Signature:

Tel #

Address:

Birthday:

Email:

Cheques made out to:      Jennifer Smith

Mailed to:                  Jannahdancer dance centre

                                            25 Sheffield, Unit 4

                                            Cambridge, ON         N3C 1C4

+any NSF cheques will be charged $15 extra, with class payable cash only

**Most classes are able to have minors whose parents are with them

and sign for them on the waiver

- each request will be considered individually, dependent on the instructor