Registration

Parent/Guardian #1 *

First

Last

Parent/Guardian #2 *

First

Last

Phone Number *

Email *

Phone Number *

Email *

Wednesday *

3:45-4:15 Twinkle Toes 3-4yrs - Cara 4:15-4:45 Tots Hip Hop 5-7yrs - Cara 4:45-5:30 Hip Hop 5-7yrs - Car 5:30-6:15 Ballet/Jazz 5-7yrs - Cara

Spring Break Camp TBA *

July 24 - July 28 - 9:00-3:00pm 6-10yrs - Sara July 31 - August 4 - 9:00-3:00pm - 6-10yrs Sara

Monday *

2:15-3:15 Ballet Performance - Cara 3:15-4:00 Hip Hop 5-7yrs - Luke 4:15-5:00 Breakdance 7-10yrs - Luke 5:00-6:00 Hip Hop 8-11yrs - Luke 6:00-6:45 Hip Hop 12-14yrs - Luke 6:00-6:45 Tap 6-9yrs - Maddy 6:45-7:30 Tap 9-12yrs - Maddy 6:45-7:30 Breakdance 11-14yrs - Luke 7:30-8:30 Ballet Technique + Stretch & Strength - Maddy

Tuesday *

3:00-3:30 Twinkle Toes 2.5-4yrs - Sara 3:45-4:15 Tots Hip Hop 2.5-4yrs - Sara 4:30-5:15 Ballet 5-8yrs - Sara 5:15-6:00 Jazz 8-12yrs - Miranda 6:00-6:45 Ballet 8-12yrs - Miranda 6:45-7:45 Ballet Level 2 Performance (Must have dance experience to register) - Miranda 7:45-8:45 Contemporary Teen 13+yrs - Miranda

Wednesday *

3:00-3:30 Twinkle Toes 3-4yrs - Sara 3:40-4:10 Tots Hip Hop 3-4yrs - Sara 4:15-4:45 Latin Dance 3-5yrs - 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 5:30-6:15 Musical Theatre 10-13yrs - Miranda 6:15-7:15 Jazz Performance Level 2 (Must have dance experience to register) 10-13yrs - Alivia 7:15-8:15 Contemporary Performance Level 2 (Must have dance experience to register) - Alivia

Saturday *

10:00-10:45 Ballet/Jazz 5-8yrs - Alivia 10:45-11:30 Hip Hop 5-8yrs - Alivia 11:30-12:15 Contemporary 9-12yrs - Alivia

Payment Method for September - 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 September 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 No

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

September 2017 - January 2018 Season - Register Today!

September Registration is now open!