Zumba Dance Fit Registration Form

Thank you for your interest in our Spring programming.

This program is open to participants 18 years or age or older.

Each participant requires a separate registration form. 

Payment options

You can pay for program registration online with Mastercard, Visa, or Visa debit only (we do not accept credit cards other than Mastercard or Visa). We do not accept Mastercard debit. 

If you choose to pay using Mastercard, Visa, or Visa debit a two percent fee will be applied to your purchase. The Township is required to pay a merchant fee (surcharge) to cover the cost of processing each credit card transaction. This fee is applied as a cost-recovery measure to only those transactions that are paid by credit card, and not to other forms of payment.

Consent to participate and liability waiver

Township of Severn recommends consulting a doctor before beginning any fitness program.

I hereby waive and forever discharge the Corporation of the Township of Severn, its employees agents, officers and elected officials from all claims, damages, costs and expenses in respect to injury or damage to my/their person or property, however caused, which may occur as a result of my/their particpation in the program and any location where the program is being held. Enrollment after the program start date will not be prorated.

I have read and understand the Recreation Programs Policy. 

Privacy statement

Information contained on this form is collected under the authority of the Municipal Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.