Virtual Spring Session Registration Form

Virtual Spring Dance Registration

4 Week Program!
Wednesdays
May 20th, 27th
June 3rd, 10th

Twirl-to-a-Tea Party!
5:00 - 5:30pm Ages 2 - 6
Get ready to set your table for FUN at a festive dancing tea party! Be Miss Jenna's guest with your favourite stuffy for this fun dance class!

Movin' + Groovin
5:30 - 6:00pm Ages 5 - 8

Your energetic kids will love this high energy class where they will learn fun Jazz and Hip Hop combinations!

Jazz Funk
6:00 - 6:30pm Ages 9-12

6:30 - 7:00pm Ages 13+

Jazz Funk is a fun and expressive style of dance that has elements of Jazz, Hip Hop, Dance Hall and other urban styles. Students will learn steps and a combination in this high energy class.

Grown-Up Grooves
9:00 - 9:30pm Ages 18+

Learn something new, get some exercise and have fun after a long day! Styles may include Hip Hop, Salsa, Jazz Funk and Dance Conditioning. The goal: to have fun and get in some exercise in the comfort of your own home!
Dancer's Info:
Last Name *
First Name *
Gender *
Address *
City *
Province *
Postal Code *
Home Phone *

Area Code Phone Number
Emergency Contact Name(if parent or guardian is not avaliable) *
Emergency Number *

Area Code Phone Number
Emergency Number #2

Area Code Phone Number
Birth Date *

Month Day Year
Parent or Legal Guardian Information:
Parent/Legal Guardian *
Relationship *
If other, please specify:
Main Phone *

Area Code Phone Number
Alternate Phone

Area Code Phone Number
Parent/Legal Guardian 2
Relationship
If other, please specify:
Main Phone 2

Area Code Phone Number
Alternate Phone 2

Area Code Phone Number
Email Confirmation
Parent's Email *
Other Information
How did you hear about Evolution's Virtual Spring Session? *
Payment Information & Class Selection

$39 per class, for the entire session, due at registration (includes GST). If you would prefer to register over the phone, please call us at 204-785-1285. Registration is not confirmed until payment is received. Thank you!

Please select your class(es): *

Twirl-to-a-Tea-Party (Ages 2 - 6) $ 39.00 CAD

Get ready to set your table for FUN at a festive dancing tea party! Be Miss Jenna's guest with your favourite stuffy for this fun dance class!

Movin + Groovin (Ages 5 - 8) $ 39.00 CAD

Your energetic kids will love this high energy class where they will learn fun Jazz and Hip Hop combinations!

Jazz Funk (Ages 9 - 12) $ 39.00 CAD

Jazz Funk is a fun and expressive style of dance that has elements of Jazz, Hip Hop, Dance Hall and other urban styles. Students will learn steps and a combination in this high energy class.

Jazz Funk (Ages 13+) $ 39.00 CAD

Jazz Funk is a fun and expressive style of dance that has elements of Jazz, Hip Hop, Dance Hall and other urban styles. Students will learn steps and a combination in this high energy class.

Adult Dance (Ages 18+) $ 39.00 CAD

Learn something new, get some exercise and have fun after a long day! Styles may include Hip Hop, Salsa, Jazz Funk and Dance Conditioning. The goal: to have fun and get in some exercise in the comfort of your own home!

Total $ 0.00 CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Waiver
By clicking submit and signing your name, you agree that you are the parent or legal guardian of the above named dancer, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named dancer by authorized personnel. I authorize Evolution Dance Company, Ltd. to use my dancer's picture and video in any promotional material(web,print,or media).

I recognize that dance is a physically strenuous activity that can lead to injury. I hereby agree to forever release, discharge and acquit Evolution Dance Company Ltd, its legal representative, employees, contractors and all persons acting under its permission or authority from any and all liabilities, claims for damages or injuries of any kind, nature, or description resulting from or related in any way which may arise from participating in classes at Evolution Dance Company Ltd.
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Virtual Spring Dance Registration

Dancer's Info:

Parent or Legal Guardian Information:

Email Confirmation

Other Information

Payment Information & Class Selection

Waiver