SARA RAYMOND DANCE ACADEMY
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January Recital 2020
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Registration for Programs - Available Now!
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Student Name
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First
Last
Birthday
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Medical Concerns/Allergies
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Parent/Guardian
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First
Last
Emergency Contact
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First
Last
Phone Number
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Email
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Emergency Phone Number
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Please select ALL classes you wish to register for:
All classes will be held at 204-6750 Island Hwy N
Rates:
45minute classes six week session: $60+GST
30minute classes six week session: $50+GST
I am wanting to register for
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November 2 - December 14
Mondays
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2:30-3:00pm Baby Ballet
3:15-4:00pm Ballet 5+yrs
4:15-5:00pm Jazz 10+yrs
5:15-6:00pm Contemporary 7+yrs
6:15-7:00pm Contemporary 10+yrs
7:15-8:00pm Contemporary 13+
Tuesdays
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2:30-3:00pm Baby Ballet 3-5yrs - Sara (Sold out for the year)
3:15-3:45pm Tots Hip Hop 3-5yrs - Sara
4:00-4:45pm Ballet 5+ - Sara (term 3 available only)
5:00-5:45pm Jazz 5+ - Hannah
6:00-6:45pm Ballet 7+ - Hannah
7:00-7:45pm Hip Hop 12+ - Cara
Wednesdays
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1:45-2:15pm Baby Latin Dance 3-5yrs
2:30-3:00pm Baby Ballet 3-5yrs
3:15-4:00pm Hip Hop 5+yrs
4:15-5:00pm Latin 7+yrs
5:15-6:00pm Jazz 7+yrs
6:00-6:45pm Hip Hop 7+yrs
Thursdays
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2:30-3:00pm Tots Hip Hop 3-5yrs
3:15-4:00pm Hip Hop 5+yrs
4:15-5:00pm Hip Hop 7+yrs
5:15- 6:00pm Tap Intermediate
Saturdays
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3:30 - 4:15pm Ballet 6+yrs - Hannah
4:15-5:00pm Contemporary 6+yrs - Hannah
Payment Method
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Online (Credit Card) - Please go to the online payment page and pay for fees after completing the registration form.
E-transfer (Each Term must be paid up front. Please send e-transfers to admin@srdanceacademy.ca with the password SRDA2020)
BY SIGNING THIS DOCUMENT YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
I understand that once registering for a program I must pay for the fees. There are no refunds but either a credit or switching classes can be discussed.
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yes
I understand that if the dancer is not feeling well that they must miss their dance class until once feeling better.
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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.
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Yes
I hereby authorize the owner of Sara Raymond Dance Academy, the employees, volunteers, and subcontractors to medically assist your child.
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Yes
I am hereby bound to the fee schedule, terms of payment, and cancellation policy.
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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.
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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.
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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.
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Yes
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