Online Registration Form:
PRINT & MAIL This page to register for a class
Checks payable to Kaylouise Zaleskijurski 
Mail to KayLouise @ InProcess
 Attn: KayLouise, 2662 Woodville Rd, Northwood, Oh 43619

YOUR NAME:

MAILING ADDRESS:

YOUR CELL PHONE #

YOUR EMAIL:

___ Beginner Class $15 (one class only)

___ Beginner Class MONTHLY $35 Part I (or $100 for the full 12 weeks) 

___ Second Class Add-On (add $5 per week)

___ Beginner Class Printed Materials: The Naval Academy (c) (add $10 per month)

Please indicate Location of the class you are registering for:

 ___ Le Chat Noir (woodville rd @ InProcess)
 ___ Monroe Public Schools
___ Owens
___ Monroe County Community College
___ Toledo Yacht Club
___ Other (workshop or special event) Name of the Event: ________________________

Class fees must be included with your mail in registration.
Please note: Class fees will only be refunded if we have to cancel or change your class. If you cannot attend your session and let us know BEFORE the session begins, you will receive class credit that can be used towards a future class. No class credits or refunds can be given once a session begins.
Warning:As with all physical fitness routines or activity, it is advised that you confirm with your doctor that a dance class is safe for you. If you have lower back issues or other health concerns, please notify the instructor when you get to your class. This dance form is heavily focused on proper posture that is meant to eliminate certain back irritations and promote a strong core.

Your signature ____________________________________________________________DATE______________
I understand that should I be unable to attend class, fees are non-refundable. It is advisable to notify your health care professional that you are beginning a new physical activity. I understand that I am taking a dance class, at my own risk and will not hold KayLouise, class instructors or the hosting dance studio responsible should I injure myself.