Registration 2022-2023

Parent/Guardian *

First

Last

Emergency Contact *

First

Last

Phone Number *

Email *

Emergency Phone Number *

I am wanting to register for *

September - June 2023 September 2022 - January 2023 February 2022 - June 2023

Mondays *

Tuesdays *

Wednesdays *

Payment Method *

Online (Credit Card) - Monthly Payment. Please go to the online payment page and set up fees after completing the registration form. E-transfer Please send e-transfers to admin@srdanceacademy.ca with the password SRDA2020)

There are no refunds but either a credit or switching classes can be discussed. *

yes

Drop Out Dates: Our drop out date for term one is October 1- 2022. After that point you must continue payments until the end of the semester in which you registered for. *

yes

I understand that if the dancer is not feeling well that they must miss their dance class until once feeling better. *

yes

I hereby release and forever discharge Sara Raymond Dance Academy, its Directors, Employees, or Volunteers and its or their successors, of and from any claim, demand, damage, which may include a failure to properly safeguard against any dangers and hazards pertaining to the event, including, without limitation, the negligence of the agents, employees and instructors working with/for Sara Raymond Dance Academy. *

Yes

I hereby authorize the owner of Sara Raymond Dance Academy, the employees, volunteers, and subcontractors to medically assist your child. *

Yes

I am hereby bound to the fee schedule, terms of payment, and cancellation policy. *

Yes

I give permission for photographs and videos to be taken of my child and used for the studio's promotion. This may include newspapers, websites, and social media. *

Yes Would prefer not to have students picture posted. SRDA will do our best to not post your child online. However- with students performing on stage there is a chance a video could be posted on social media. I accept that SRDA will do their best.

I certify that I am the legal guardian of the minor child that I have registered, or that I am the age of majority. I have read the terms and conditions and am bound to them. *

Yes

We the guarantor, if applicable, on behalf of ourselves, members of our family, hereby forever release, discharge and hold harmless members of Sara Raymond Dance for any injury arising out or in connection to taking dance class. *

Yes

Kids Registration for Programs - Register Today! Please fill out form- set up fees and you are ready for class.

204- 6750 N Island Hwy in North Nanaimo