Registration Form – 2 payments 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 Δ
