Student Registration Form 2020-2021

Yearly Recreational Program Registration Form 2023-2024

Fill out the form carefully for registration
Family Surname*
Surname
Registration Date*

MonthDayYear
Date
Student 1 Name*
First Name
Student 1 Birth Date *

MonthDayYear
Student 2 Name
First Name
Student 2 Birth Date

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Parent (Mother):
Work/Cell Phone Number
Please enter a valid phone number.
Parent (Father):
Work/Cell Phone Number
Please enter a valid phone number.
Home Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please Select Your Classes

Classes are organized by day/time. In order to confirm registration, the registration fee must be added to total. Please select registration fee before submitting form. Pricing is per/month.
Program Level Selection
prevnext( X )
Beginner Acro (Ages 5-8) Monday 4:30-5:15pm
$55.00CAD Quantity



Jr Ballet (Ages 6-10) Monday 4:30-5:15pm
$55.00CAD Quantity



Jr Jazz (Ages 6-10) Monday 5:15-6:00pm
$55.00CAD



Jr Tap (Ages 7-10) Monday 6:00-6:45pm
$55.00CAD



Pre-Teen/Teen Acro (Ages 11-14) Monday 7:00-7:45pm
$55.00CAD Quantity



Pre-Teen/Teen Hip Hop (Ages 11-14) Monday 7:45-8:30pm
$55.00CAD Quantity



Primary Ballet & Jazz (Ages 4-5) Tuesday 11:15-12:00pm
$55.00CAD Quantity



Budding Dancers (Ages 4-5) Tuesday 12:00-12:45pm
$55.00CAD



Jr Acro (Ages 7-11) Tuesday 4:45-5:45
$65.00CAD Quantity



FULL Pre-Jr Ballet/Jazz (Ages 5-7) Wednesday 4:30-5:30pmPlease choose a different class for registration. E-mail adancec@shaw.ca for other class options.
$65.00CAD Quantity



Pre-Jr Tap (Ages 5-7) Wednesday 5:30-6:00pm
$45.00CAD Quantity



Budding Dancers (Ages 3-4) Thursday 4:30-5:15pm
$55.00CAD Quantity



Jr Ballet (Ages 6-10) Thursday 4:30-5:15pm
$55.00CAD Quantity



Jr Jazz (Ages 6-10) Thursday 5:15-6:00pm
$55.00CAD



Jr Theatre (Ages 6-10) Thursday 6:00-6:45pm
$55.00CAD



Jr Hip Hop (Ages 6-10) Thursday 6:45-7:30pm
$55.00CAD



Pre-Teen Jazz (Ages 11-14) Thursday 6:45-7:30pm
$55.00CAD



Pre-Teen Ballet (Ages 11-14) Thursday 7:30-8:15pm
$55.00CAD



Primary/Pre-Jr Ballet/Jazz (Ages 4-6) Saturday 9:15-10:00am
$55.00CAD



Jr Hip Hop (Ages 6-10) Saturday 10:15-11:00am
$55.00CAD



Adult Barre (Ages 18+) Tuesday 8:15-9:15pm
$40.00CAD



Adult Tap (Ages 18+) Wednesday 8:00-9:00pm
$55.00CAD



Registration Fee (Student)Mandatory to confirm registration. Non-refundable.
$40.00CAD



Registration Fee (Family - More than 1 dancer)Mandatory to confirm registration. Non-refundable.
$60.00CAD



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD
Monthly Payments
Payments must be made via Credit Card using our authorized Credit Card form which will be e-mailed separately. If you do not receive this form, please e-mail adancec@shaw.ca
I agree to pay by Credit Card*

YES

Payment Record (Office Use Only)

	Payment Type	Amount
Non-Refundable Deposit (June and Reg fee)
September 1, 2023 (Office Use Only)
October 1, 2023 (Office Use Only)
November 1, 2023 (Office Use Only)
December 1, 2023 (Office Use Only)
January 1, 2024 (Office Use Only)
February 1, 2024 (Office Use Only)
March 1, 2024 (Office Use Only)
April 1, 2024 (Office Use Only)
May 1, 2024 (Office Use Only)
Apply Credit (Office Use Only)

Waivers & Policies

Upon Registering at Airborne Dance Centre it is agreed that all students, parents and relatives have read, understand and agree to policies and procedures outlined in all communications received by Airborne including emails, webpage, information package and registration form. It is also understood participation in any classes or programs is at your risk and Airborne Dance Centre, instructors, staff or directors are not responsible for any injury related to the participation in classes at Airborne Dance Centre or loss of property while on the premises.
Policies & Procedures*

I have reviewed all of Airborne Dance Centre's policies and procedures outlined on our website and newsletter, and I agree to follow all policies and procedures.
Schedule Changes*

I am aware that Airborne Dance Centre reserves the right to move my child to a different level if the level they are registered for is inappropriate or if class doesn't meet the minimum enrolment. Parents will be notified via e-mail of any changes.
Cancellation Policy*

I am aware of the payment and cancellation policy as indicated in our studio policies on our website. Including that the registration fee, and last month fees are non-refundable.
Waiver of Release*

I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Airborne Dance Centre, it's officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities.I also authorize Airborne Dance Centre to seek medical service in case of serious injury or illness if I am unable to be contacted. I further agree and accept financial responsibility of any fees that may arise and understand Airborne Dance Centre will not resume responsibility for any medical or transportation fees.
Photo/Video Release*

I give Airborne Dance Centre permission to take photos/videos of my child while participating in studio programs to use on studio website, Instagram or Facebook for advertising or promotional purposes only.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Yearly Recreational Program Registration Form 2023-2024

Please Select Your Classes

Waivers & Policies