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If you are unsure of the start date please call or email: 419.280.3674 or                                       
TO REGISTER FOR A CLASS:
PRINT & MAIL This page to register for a class
Checks payable to Kaylouise
Mail to Mesmeric Dance & KayLouise
 Attn: KayLouise, 8982 Summerfield Lambertville, Mi 48144


YOUR NAME:

MAILING ADDRESS:

YOUR CELL PHONE #

YOUR EMAIL:

Please indicate the Date & Location of the class you are registering for:


Class fees must be included with your mail in registration.
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Please note: Class fees will only be refunded if we have to cancel or change your class. If you cannot attend your session and let us know BEFORE the session begins, you will receive class credits that can be used towards a future class. No class credits can be given once a session begins.
Warning: As with all physical fitness routines or activity, it is advised that you confirm with your doctor that a dance class is safe for you. If you have lower back issues or other health concerns, please notify the instructor when you get to your class. This dance form is heavily focused on proper posture that is meant to eliminate certain back irritations and promote a strong core.

Your signature ____________________________________________________________DATE________________
I understand that should I be unable to attend class, fees are non-refundable.
I understand that I am taking a dance class, at my own risk and will not hold KayLouise or the hosting dance studio responsible should I injure myself.