SARA RAYMOND DANCE ACADEMY
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January Recital 2020
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We are not taking any registrations - the studio is closed due to COVID-19
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Student Name
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Birthday
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Medical Concerns/Allergies
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Parent/Guardian
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Last
Emergency Contact
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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 North Island Highway
Terms
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One Term Only (February - June)
Payment Method
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Online (Credit Card) - Please follow the link at the top of the page
Cash (Each Term must be paid in full. Please e-mail us to arrange a drop-off time).
E-transfer (Each Term must be paid up front. Please send e-transfers to admin@srdanceacademy.ca with the password SRDA2019)
Post Dated Cheques (1st of the month)
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 understand that once registering for a program I must pay for the first month fees. There are no refunds but a credit can be applied.
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yes
I understand that there is a recital fee for each dancer performing in our shows. Recital fees include costume rental and practice time at our dress rehearsal. Each recital fee is a one time fee of $35 per dance.
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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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