2toGroove Registration Form  NO REFUNDS - NO CREDIT POLICY      
NOTE: ALL Checks Payable to  "2toGroove"  - Lessons are non-transferrable.
Make up lessons allowed within same session only.    Policy details on  2togroove website.  
Policies noted and accepted by signature below.

Name:       ______________________________________________________________________________

phone H)___________________________(W)________________________(C)_______________________

Address: ___________________________________________________City/Zip_____________________

E Mail Address (print clearly)_____________________________________________________________

     MONDAYS: PB Woman's Club - Pacific Beach (SD)   *6 Weeks*
         ____      7:30pm         Balboa Basics 1
          ____      7:30pm         Int Balboa 2   (held at same time)      
***************************************************************************************
    TUESDAYS: PB Woman's Club - Pacific Beach (SD)   *6 Weeks*
         ____      6:30pm        Intro to Lindy 1 
           ____      7:30pm        Intermediate  Lindy 2             
           ____      8:30pm        Special Topics Lindy Class  - Freeze, breaks & all that Jazz! 
                                           (Intermediate level  and above - no beginners) ***************************************************************************************
    WEDNESDAYS: Dance North County - Encinitas   *6 weeks*
                     6:00pm         Intro to Lindy 1 
          ____      7:00pm         Intermediate to  Int/Adv  Lindy 2/3
          ____      8:00pm         Balboa 1/2

  ADVANCE Sign up & Save by DEADLINE- postmarked by Thursday before session begins  
   6 weeks     $68 pre-reg discount      $54 students - military - seniors
   
   AFTER Deadline Sign up                                           
   6 weeks     $78 per person     $64 students - military- -seniors

SINGLE CLASS (Drop-in) $13 PER PERSON  OR  $11 student/military/senior

  Full Session or Drop in  (circle one)                               Session Start Date:_____________________   
  Full time Student - Military - Senior over 60 (circle one)
  Check  or  Cash (circle one)                                          Amt Pd  ___________ Check No.__________

LIABILITY WAIVER: ( MUST BE SIGNED)
I acknowledge that Jim Cruzen and Margaret Adams have informed me that there can be risks of injury associated with all forms of dance.  I assume all such risks and agree that Jim Cruzen, Margaret Adams and the owner(s) of  ______________________________________  [fill in studio/hall name] will not be responsible 
in any way for any injury I may suffer in or as a result of classes, practice, rehearsals, or performance work.

Signature: ________________________________________________      Date: ________________________

Signature  ________________________________________________      Date: ________________________  

REFERRED BY______________________________________________________________________________

Print & Mail To: 2toGroove, P.O. Box 3183, San Diego, CA 92163-1183
?Questions: Jim@2togroove.com or Margie@2togroove.com     (619) 291-3775