Queen's Swing Club

Registration Form

Alana & Solomon: Jan 31 / Feb 1

 

Name(please print):_______________________ Email:__________________________ Phone #:____________

Date: ___________________Early registration? (Early reg deadline Jan 19th, 11pm) Yes / No

Leader or Follower: _______________________________

QSC member? Yes / No

 

Band Night: Come in from the cold and enjoy an evening of great music and dancing. The theme is "WinterLuau," so come dressed in your finest tropical/beach attire. Prize for best outfit! Featuring Solomon?s Trio! Saturday January 31

 

Class Pricing:        QSC members $10/class with early registration, $12/class after the early registration deadline

                                Non-QSC members $12/class with early registration, $14/class after the early registration deadline

 

Level Definitions

Level 1: Has been dancing socially for less than one year

Level 2: Has been dancing socially for at least one year

Level 3: Has been dancing socially for at least two years                                      

 

All numbered classes are progressive.

Optional classes are open to all levels.

 

Packages

Open to

Levels

Classes

Package

Discount

Members:

 Early / Late

Non-Members:

 Early / Late

Package Choice

(choose one only)

Package 1

1, 2, 3

1

none

$10 / $12

$12 / $14

 

Package 2

1, 2, 3

1 - 2

none

$20 / $24

$24 / $28

 

Package 3

1, 2, 3

1 - 3

$2

$28 / $34

$34 / $40

 

Package 4

2, 3

1 - 4

$4

$38 / $44

$44 / $52

 

Package 5

2, 3

1 - 5

$4

$46 / $56

$56 / $66

 

Package 6

3

1 - 6

$6

$54 / $66

$66 / $78

 

 

Optional Classes

Members: Early / Late

Non-Members: Early / Late

Class Choice

Blues

$10 / $12

$12 / $14

 

Jazz Movement

$10 / $12

$12 / $14

 

 

Band ticket

Workshop Price

Band ticket?

WinterLuau

$6

 

 

Package #: ___________                                 Price: _________

Optional class(s): ____________    Price: _________

Band ticket:  Yes / No                        Price: _________

                Total: _________ Payment by cash or cheque (payable to Queen?s Swing Club)

 

Waiver:

 "I agree to waive any damage rights I or my heirs may have against the Queen's Swing Club, the Alma Mater Society of Queen's University or their agents for any and all injury and damages I may suffer by participating in the workshop or dances at any location."

Name (please print):__________________________ Signed: ______________________________  Date:______________________

 

Refund Policy: 100% refund until Jan 28th, 50% refund until Jan 30th, no refunds after Jan 30th