ROSS DANCE CLASS REGISTRATION


Thank you for your interest in our class series. Our classes are designed for older adolescents and
adults. Ross understands the difficulty of attending weekly classes when you have other priorities such
as family, school, or career. Therefore, we have designed our class series to cater to adult dancers so
that it is more convenient for you to continue what you enjoy. Ross classes our offered once a month
and on Saturdays in the evenings. We offer beginning, intermediate, and advance classes in
contemporary jazz.
Our classes are taught by excellent instructors who have extensive history in training and performing in
well-known companies. Also we keep our class size low so that you can receive specialized training in a
supportive environment.

If you would like to participate in one of our classes, you can email your pre-registration form to
info@rossdance.com with the subject “Class Registration” no later than noon of the class day, fax your
form to 510-779-5218 or can pay for the class at the door. The first 10 to pre-register for the class will
receive 25% off their class fee. Space is limited so we encourage those who are interested to register
soon!!! Please direct all questions to info@rossdance.com.

First and Last Name:
Age:
Email Address:
Home Address:
Phone Number:
Date(s) of Dance Class You Will Be Attending:

Payment: In order to complete your registration you must complete the following payment information.
We accept Visa, Mastercard, and American Express. We do not accept checks. By completing the below
information you are authorizing Ross Dance to charge your card for the below amount.

Name on Card:
Billing Address (City, State and Zip):
Last 3 digits on the back of card:
Card Type:
Card Number:
Amount To Be Charged:
(Please refer to www.rossdance.com/performances.html for class prices. Prices vary so please make
sure you are paying for the correct amount.


***Please note if you are paying for multiple people you must complete a form for each person.
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