SARA RAYMOND DANCE ACADEMY
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Kids Registration for Programs - Register Today! Please fill out form- set up fees and you are ready for class.
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Indicates required field
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 are taught by Sara.
All classes will be held at 204-6750 Island Hwy N
I am wanting to register for
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6 week session April 27th - June 7th
July Summer School Program
August Summer School Program
I want to join class
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In person at the studio
Online via Zoom
July 19 - 22
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9:00am - 12pm Ballet & Jazz ages 5 - 10yrs
12:30 - 3:30pm Hip Hop & Contemporary ages 5 - 10yrs
July 26 - July 29
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9:00am - 12:00pm Ballet & Jazz ages 5 - 10yrs
12:30 - 3:30pm Hip Hop & Contemporary ages 5 - 10yrs
August 23 - August 26
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Option 1
Option 2
Option 3
Augus 26 - August 29
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Option 1
Option 2
Option 3
6 week Courses
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Option 1
Option 2
Option 3
Payment Method
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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)
BY SIGNING THIS DOCUMENT YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
There are no refunds but either a credit or switching classes can be discussed.
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yes
Drop Out Dates: Our drop out date is February 15- 2021. After that point you must continue payments until the end of the semester. We will be working on a routine and a regular attendance either in class or on zoom will be important.
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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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