Dexterity Dance Studio | Chestermere | Child Registration Form

Saturday Sessional
Registration Form

Dancer First & Last Name

Preferred Personal Pronoun (he/she/them/other)

Dancer Birthday

Dancer Current Age

Address (include postal code)

Medical Conditions or Other Concerns

Parent/Guardian

Relationship To Dancer

Parent/Guardian Email

Parent/Guardian Phone

2nd Parent/Guardian

2nd Relationship To Dancer

2nd Parent Email

2nd Parent Phone

Select the class you would like to register for Required

Movers & Shakers (1-2.5yr)

MIX n MATCH (3-5yr) *FULL - you'll be on the waitlist

K-Pop Acro (6-9yr) *FULL - you'll be on the waitlist

Select the session you would like to register for Required

February 7 - March 21

Please provide credit card information.

Your $115+GST session fee will be charged on the first day of class.

Card Number

Expiry Date

CVV ( 3-digit code on back)

Please read our HANDBOOK and the following carefully before signing.

Legal Release and Policy Acceptance

I/we understand all of the studio policies - as per the handbook

I/we understand the billing obligations - $115+GST charged to card on file

I/we understand the risks related to dance

I/we understand the responsibility for personal property
I/we understand the dress code - will be sent in a separate email to you

I/we give media rights permission

I/we understand the attendance policy

I/we understand that classes may not run or be rescheduled

Your Signature

Signing Date required