Competition – Dans'Atout

Nom du parent / Parent's Name*

First Last

Email*

Students Information

Nom du danseur / Dancer's Name*

First Last

Nombre de routines / Number of Routines*

Ajouter un danseur? / Add another dancer?

Nom du danseur / Dancer's Name

First Last

Nombre de routines / Number of Routines

Comment voulez-vous payer? / How would you like to pay?*

Payment Method*

Sous-total / Subtotal

Price: $ 0.00 CAD Quantity:

Taxes

Price: $ 0.00 CAD

Mode de paiement / Payment Method*

Les paiements seront retirés du 21 septembre au 21 décembre. / Payments will be withdrawn from Sep 21 to Dec 21.

Bank Account Holder's Name*

Payments will be withdrawn on the 21st day of each month starting on September 21, 2020 and automatically ending on December 21, 2020.

Void Cheque*

Please take a photo of your void cheque and upload it here.

Subtotal

Price: $ 0.00 CAD Quantity:

Tax

Price: $ 0.00 CAD

Grand Total

$ 0.00 CAD