Home   Contact | 514-846-8456 |  info@dgentertainment.ca    
       
Course Registration
 
You must fill in all * in order for the form to be complete.  
*Single or Couple (If coupled please fill second person's info)
*Last Name
*First Name
Second Person's Info  
Last Name
First Name
*Address
*City
*Country
*Zip Code / Postal Code
*Home phone number
Work phone number
Cell phone number
*Email
Does the 2nd person live in the same location? Yes No (If no please specify)
Address
City
Country
Zip Code / Postal Code
Email
*Select a Course  
1 Private Program of 10 hours private
Group & private program Acting course
Wedding dance Salsa group
Ballroom group Hip hop group
Swing group Bellydance group
Other (Special workshop, event, course, not listed, original request)
"Other" (Please Specify)
Additional Iinformation and/or comments
*How did you hear about us?
"Other" (Please Specify)

 
*IMPORTANT NOTICE! SPACES ARE LIMITED, MUST REGISTER AS SOON AS POSSIBLE!
 
*PAYMENT MUST BE RECEIVED BEFORE YOUR FIRST DAY OF CLASS(ES), IN ORDER TO RESERVE YOUR SPOT. METHOD OF PAYMENTS ARE MADE BY CASH, CHECK OR MONEY ORDERS. WHEN REGISTERED FOR PRIVATE COURSES AND AGENT WILL CONTACT YOU TO SCHEDULE YOUR CLASS AT YOUR CONVENIANCE.

FOR ANY OTHER QUESTIONS PLEASE CONTACT DG ENTERTAINMENT AT
(514) 846-8456.

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