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Registration Form - 2 payments Teach SharQui

Registration Form – 2 payments

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Register Anytime.

Complete within 30 days.

2 payments of $188.50

PLEASE FILL OUT FORM BELOW BEFORE PAYMENT

Please read before registering

STEP 1: REGISTRATION FORM (2 payments/$188.50)

ONLINE SHARQUI INSTRUCTOR TRAINING COURSE

Name*
First Last
Who referred you?*
Address: Number & Street*
Address: City, State & Zip Code*
Telephone*
Cell*
Email*
Facebook Name
Are you a dance/fitness educator or a dance/fitness enthusiast? If you are an educator, please list your current certifications.
REGISTRATION FEES: (As per the terms of the Online SharQui Instructor Training Course Agreement)
PLEASE CHECK*
- 2 payments/$188.50
CANCELLATIONS AND REFUNDS:
Refunds offered up to 7 days after start date of training. Substitutions are not allowed.
PAYMENT METHOD:
Remit payment by Credit Card with Paypal.
ONLINE SharQui Instructor Training Course Agreement*
- I have read and fully understand and agree to all of the terms listed in the Online SharQui Instructor Training Course Agreement