Online Registration Forms Can Be Used Only For OMNI REHAB & FITNESS CENTER
To Register For Classes At Other Locations Please Contact The Venues Directly.
*Are You New To Taboo Dance & Fitness?
Yes
No
*How Did You Hear About Taboo Dance & Fitness?
Word Of Mouth
Website
Posters/Handouts/Fliers
Stagette / Private Party
Existing Student
Saanich News
Victoria News
Goldstream News
N/A - Already Taking Classes
*Please List All Classes You Wish To Register For:
Monday 6:45 (Any Level)
Monday 8:00 (Pole Dancing)
Tuesday 6:45 (Any Level)
Wednesday 6:45 (Any Level)
Wednesday 8:00 (Pole Dancing)
Thursday 6:45 (Any Level)
Sunday 6:45 (Any Level)
*CARDIO STRIPPERSIZE CLASSES - Please Confirm Your Weekly Schedule:
Once A Week - $120 ($15 Per Class)
Twice A Week - $192 ($12 Per Class)
Three Times A Week - $240 ($10 Per Class)
Four Times A Week - $320 ($10 Per Class)
Pole Dancing - $120 ($20 Per Class)
*Please Indicate Your Preferred Method Of Payment:
Credit Card - Please Bill The Above Card Number
Cash or Cheque
If Paying With Credit Card:
Charges will be processed within the first three weeks of classes.
Charges will appear on your statement under the name of Dr. Michael Murray, the owner of the facility.
If Paying With Cash Or Cheque:
Please bring your payment to your first class.
Receipts:
Available upon request - Please contace Danielle at info@TabooDanceandFitness.com
*If You Cancel Your Registration Or Fail To Show Up For Your Session A $10 Charge Applies:
I Understand A Cancellation/No Show Fee Applies & Will Be Charged To My Credit Card
*Charges Will Appear On Your Credit Card Statement Under The Name Of Dr. Michael Murray, As He Is The Owner Of The Facility.
I Am Aware Of How Charges Will Appear On My Statement
____________________________________________________________________________________________________________________
CONSENT FORM
I desire to engage voluntarily in an attempt to improve my overall fitness, and functional skills. I understand that the physical activities range from low and moderate intensities. I understand and realize that all exercise programs place a workload on the body to promote improvement and at the same time present the risk of negative body response to that exercise.
I understand that I am solely responsible for monitoring my own condition throughout any of the exercises, and exercise programs. Should any symptoms occur, I will cease my participation and inform the instructor immediately of the symptoms. I agree to assume the risk of such exercises and further agree to hold harmless Omni Rehabilitation / Murray Chiropractic Group, Danielle Murray, Gina Brown, Jill Evans, Brittney Forslund, Myndi Rhodes and Eve Silk from any claims, suits, loses or related causes of action for damages, including but not limited to, such claims that result from injury or death, accidental or otherwise, during or arising in any way from the exercise program.
Furthermore, my voluntary participation in such exercises is for recreational purposes only. Under no circumstances do I intend to use these exercises or exercise programs, or the choreography taught during these programs for any other use. I understand that the choreography taught in any and all programs is the sole property of Danielle Murray.
_____________________________________________________________________________________________________
In ticking this box, I affirm that I have read the consent form in its entirety and that I understand the nature of the exercise program:
I understand and give my electronic consent
Thank You For Registering With Taboo Dance & Fitness!
We Look Forward to Having You Join Our Classes!
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You will receive registration confirmation via email within the week.
For Concerns or Questions, Please Contact: info@TabooDanceandFitness.com