Dexterity Dance Studio | Chestermere | Child Registration Form

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Saturday Session 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 class(es) you are interested in for our OCT 17 - NOV 21 session:

Movers & Shakers (1-3yr)

Tumble Tots (3-4yr)

Musical Theatre (5-7yr)

Musical Theatre (8-10yr)

Please familiarize yourself with our Studio Handbook (most policies, except for cost and program length, are similar to our regular season classes) before checking the following Legal Release and Policy Acceptance:

Legal Release and Policy Acceptance

I/we understand all of the studio policies

I/we understand my billing obligations - $96 payable in full on or before first class

I/we understand the risks related to dance

I/we understand my responsibilities for my 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

Date

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 this entire document. I have read and understood it, and I agree to be bound by its terms.

Email Address

Address

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

Contact

dexdancestudio@gmail.com

403-816-6189