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Perugia Workshops Registration Form

Terms and Conditions
- Workshops are complimentary for Perugia members
- Client’s price is $15 per class
- Registrations made with invalid or expired membership numbers will be due in full upon arrival
- Registration fee will be forfeited if cancelled less than 48 hours before class begins
- Failure to attend registered classes without cancellation may be subject to a $15 cancellation fee

Date of Agreement: Wednesday Sep 8, 2010

Please check here to confirm you have read and agree to all terms of this agreement:

Class information
Select an Upcoming Class
Class Price Clients:             Members:
Are you a Perugia Member? Yes No
Perugia Membership #
* If you are a Perugia Member, then please enter your Perugia Membership number to get the member price. If you are paying the client price, then this field can be left blank.

Your Name
Your Address
Your City
Your Province
Your Postal code
Your Email
Your Phone #
Your Cell # (optional)
Your Birthdate (dd/mm/yyyy)
* Parental consent required if under 18 years of age




  
 
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