Registration

Parent/Guardian #1 *

First

Last

Parent/Guardian #2 *

First

Last

Phone Number *

Email *

Phone Number *

Email *

Wednesday *

Wednesday 5:00-5:45 Hip Hop 5-7yrs - Car Wednesday 5:45-6:30 Ballet/Jazz 5-7yrs - Cara

Wednesday *

10:00-10:30 Twinkle Toes - Sara 10:30-11:00 Tots Hip Hop - Sara 4:45-5:30 Latin Dance 6-9yrs - Sara 5:45-6:15 Twinkle Toes 3-4yrs - Sara

Thursday *

4:00-4:45 Ballet/Jazz 5-7yrs - Miranda 4:45-5:30 Musical Theatre 6-9yrs - Miranda 5:00 -5:45 Ballet 5-7yrs - Hannah 5:30-6:15 Musical Theatre 10-13yrs - Miranda 5:45-6:30 Ballet 8-12yrs - Hannah 6:30-7:15 Jazz 8-12yrs - Hannah 7:15- 8:00 Contemporary 12yrs+ - Hannah

Saturday *

10:30-11:00 Tots Hip Hop3-4yrs - Hannah 11:00-11:45 Tap 5-8yrs - Hannah 11:30-12:15 Contemporary 9-12yrs - Alivia

Payment Method for February - June *

Online (Credit Card) - Please go to the Online Payments page to set this up. It must be set up for your spot to be reserved but your card will not be charged until August 31. Post-Dated Cheques (A $25 NSF fee will be applied to cheques that do not go through) We must receive your cheques for your spot to be reserved Cash (Each Term must be paid up front at the time of registration) E-transfer (Each Term must be paid up front at the time of registration)

I understand that unless I notify SRDA before February 30, I am committed until the 2018 January Recital. *

Yes

Attendance is mandatory. We are an affordable dance company but we

do our best to put on quality performances that the students are proud of

and this is not possible with poor attendance. If your child must miss a

class for any reason please inform your instructor as soon as possible.

BY SIGNING THIS DOCUMENT YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:

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 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

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

February - June 2018 Season - Register Today!

Second Term Registration is open December 1!