Dance Class Registration Form Oct

Student name

First NameLast Name

Parent name

First NameLast Name

Child day of birth

MonthDayYear

Contact E-mail

example@example.com

Mobile Number

Area CodePhone Number

Whatsapp number (if different than above)

Area CodePhone Number

Register for

Kids Ballet (Multiple timings; we will send you schedule based on age)Kids Modern Jazz Dance ages 4 & up; Tues 5pmKids Hip Hop ages 3.5 & up Fri 5:15Little Panda Club (Mandarin playgroup) Sun 9am, Baby pandas 18 months - 2 yrs oldLittle Panda Club (Mandarin playgroup) Sun 9:45, Playful pandas ages 2-4Little Panda Club Sun 10:30, Confident pandas ages 5-7Babywearing Dance Class Oct 12, 9amBabywearing Dance Class Oct 30, 9amBabywearing Dance Class Nov 1, 2pm

You may also let us know if you have any questions here

Informed Consent and Acknowledgement

Waiver, Authorization and Release of liability: By enrolling in classes and events with Danspirations Ptd. Ltd., I agree to the following:

· I understand that classes and events (whether online or in person) involve physical activity including but not limited to dancing or tumbling. I acknowledge and will assume the full medical and financial risks associated with this. I hereby release, discharge and indemnify Danspirations Pte. Ltd. and its owners, instructors, employees and agents from any and all liability arising from or in connection with my child’s and my own (for accompanied classes) participation in class activities. I voluntarily enter into this waiver and release of liability and forever discharge Danspirations Ptd. Ltd. and its owners, instructors, employees and agents from any risks and injury that may be a result of participating in activities hosted by Danspirations Ptd. Ltd.

We are also adopting the warning statement issued by other organisations like Disney per below:

An inherent risk of exposure to COVID 19 exists in any public place where people are present. By attending class, you voluntarily assume all risks related to exposure and the above waiver and release of liability will apply. We have taken enhanced health and safety measures for our students. All students and parents must follow safety guidelines when attending class.

Photography and Video: We may take photos and videos in class. These photos may be used in class to review with students themselves, shared with parents, featured on our class wall or marketing and promotion material. I give permission to engage in these activities and understand no financial compensation will be given for use of these photos/videos. If you would like to opt out of any video/photography, please check the opt out box below.

I understand and agreeI would like to opt out

Please press the submit application below and then make payment via paynow/paylah to 9118-2473 with student full name. Your spot will be saved after payment. The registration system will also send you an email on what to bring/wear for the trial class. See you soon.