Dexterity Dance Studio | Chestermere | Child Registration Form

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Child Registration Form

Student First and Last Name

Preferred Personal Pronoun (e.g. He / She / Other)

Birthday

Age

Address and Postal Code

Any Medical Concerns / Conditions

Previous Dance Experience (# of years in each genre)

Parent / Guardian 1 First and Last Name

Relationship to Dancer

Mobile Phone Number

Email Address

Parent / Guardian 2 First and Last Name

Relationship 2 to Dancer

Mobile 2 Phone Number

Email 2 Address

Check off the program(s) you are interested in:

Ballet (3 yrs+)

Tap (3 yrs+)

Acro (3 yrs+)

Cheer (5 yrs+)

Jazz (5 yrs+)

Hip Hop (5 yrs+)

Musical Theatre (8 yrs+)

Lyrical/Contemporary (8 yrs+)

BARRE NONE Athletic Training (11 yrs+)

Are you interested in being a part of DexDance’s competitive company?

Yes*

* If interested in competition, students must take ballet (and BARRE NONE if 11yrs+)

How did you hear about Dex?

Students will be placed into classes by Dexterity Dance Studio faculty upon receiving this form. You will then be informed of the class day/time.

Please familiarize yourself with our Studio Handbook before checking the following Legal Release and Policy Acceptance:

Legal Release and Policy Acceptance

I/we have read the handbook

I/we understand all of the studio policies

I/we understand the billing obligations

I/we understand the risks related to dance

I/we understand the responsibilites for personal property

I/we understand the dress code

I/we give media use rights permission

I/we understand the attendance policy

I/we understand that classes may not run due to COVID-19

Electronic Signature Agreement

I Accept

By selecting the I Accept checkbox, I am signing this agreement electronically. I agree this electronic signature is the legal equivalent of my manual signature on this agreement.

I have had sufficient opportunity to read the entire Dexterity handbook. I have read and understood it, and I agree to be bound by its terms.

Date

Address

Unit #25 140 E Chestermere Dr
Chestermere, AB T1X 1A1
Canada

Contact

dexdancestudio@gmail.com

403-816-6189

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