REGISTRATION FORM

                    (Parent or Guardian signature required for participants under 18.)  

All registrants will participate at their own risk, and will hold Stepology and San Francisco Dance Center harmless for any injury sustained as a result of this workshop.  Refunds are available only through August 1, and will be subject to a $25 processing fee.  Stepology reserves the right to substitute instructors if needed.  

Regular single class and/or class card fees: $               +            

Master Class fees:                                     $               +

Carte Blanche fees:                                  $               +

BATF T-shirt {S x (  ) + M x (  ) + L x (  ) + XL x (  )} x $25 =   $               +

Non-refundable Registration fee:                              $ 10.00

                                                TOTAL:  $                 

  Please charge my credit card.  Checks also accepted (see below).  

Please circle one:    VISA        Master Card       American Express       Discover

Registration Checklist:

Full copy of completed form, including all course selections, is enclosed __________

All personal information is complete and form is signed __________

Full copy of completed form kept for records (please help avoid registration and processing delays by keeping a record for yourself of classes in which you're registered) __________

The $10 registration fee is added to and included with total payment, and total payment is checked for accuracy __________

Any Master Class purchases are priced and calculated separately, and are not priced at either the "10 class card", "5 class card", "3 class" or "1 class" normal class rates __________

www.stepology.com/workshop.html has been refreshed and checked for updates __________

After August 8th, registration is not being mailed -- it will be brought in-person __________

*Please make check/money order payable to STEPOLOGY, or pay via credit card (see above).  Your cancelled check or bank statement will serve as your receipt/confirmation.  Please send a copy of this completed form, INCLUDING ALL CLASS SELECTIONS, to:

STEPOLOGY
P. O. Box 420889
San Francisco, CA 94142

Special Pricing for Teachers/Studio Owners:  If you are a teacher and/or studio owner, you may receive a 50% discount on your own Total Payment for registering 3-4 students, or 1 Carte Blanche pass for yourself for registering at least 5 students by using the following instructions:

1.        Assemble all student registration forms and payments, and check for accuracy using the “Registration Checklist”;

2.        Complete a separate registration form for yourself, indicating that you are taking your discount from the Total Payment Amount, or that you are eligible for a Carte Blanche pass for yourself ($10 Registration fee still applies in both instances);

3.        Enclose all completed registration forms, including yours, in one envelope and mail by the early registration cutoff date (Aug. 1).