WORK IT Girl Program Registration Form (Fall 2024)

WORK IT GIRL Leadership & Dance Program

We are excited to have you join our WORK IT GIRL Movement! Register for our 10-week confidence-boosting programs for girls aged 6-11 years old. Learn leadership and dance skills from high-quality teachers within a fun, motivating and empowering environment.
Student Registration Form

PLEASE CAREFULLY FILL OUT THE INFORMATION BELOW.
SECTION A. STUDENT DETAILS
Are you a new or returning family?*

NewReturning
If new, how did you hear about us?
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
SECTION B. PARENT/GUARDIAN INFORMATION *** If you are a Returning Student and Parent/Guardian Information has NOT changed, skip to SECTION C.
Parent/Guardian Name:

First NameMiddle NameLast Name
Relation to Student:
Parent/Guardian Email:
example@example.com
Parent/Guardian Phone:
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION C. EMERGENCY CONTACT & ADDITIONAL STUDENT INFO *** If you are a Returning Student and Emergency Contact Information has NOT changed, skip to SECTION D.
Secondary Emergency Contact Name (in case we can't get in touch with the parent/guardian filling out this form)

First NameMiddle NameLast Name
Relation to Student
Parent/Guardian Email #2
example@example.com
Parent/Guardian Phone #2
Student Years of Dance Experience
What are some of the most important leadership qualities you would like the student to learn in this program?
Please share with us any information that you would like us to know about your child:
SECTION D. PROGRAM REGISTRATION & WAIVER
Courses*
Please email info@janetco.live if you have questions about which level to enter. If a a program is cancelled due to low enrolment, registrants will be given one week notice and refunds will be issued subsequently.
WORK IT Girl Liability Waiver

Please read over the terms and conditions before signing this form.
WORK IT Girl Liability Waiver*

I certify that my child is in good physical condition, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems, which preclude his/her participation in this activity.
CANCELLATION POLICY*

I understand that a 20% cancellation fee applies for cancellation within 1 week of class start date. Once the class starts, the program fee is 100% non-refundable. There are no makeup classes available for students that miss. Due to the progressive nature of the program, we encourage participants to attend as many classes possible to reap the full benefits of learning.
MEDIA CONSENT*

I give my voluntary consent for WORK IT Girl (Janet Co.) to photograph students for publications and all other marketing materials to be used for the sole purpose to promote the WORK IT Girl Program. I also understand that no royalty, special credit or other fees shall be made payable to me by reason of such use. Janet Co. will become the copyright owner of the Recording and I waive rights to privacy and compensation.
DANCE LIABILITY*

WORK IT Girl (Janet Co.) is not responsible for any damage or injuries that may occur while on the property or during the programs. Additionally Janet Co. is not responsible for any lost items on the property. I take responsibility for my child’s behaviour and any damage he/she may cause to the area while participating in the dance class.
Comments/Questions
Signature of Parent/Guardian (please sign in form with your cursor) *

Powered by Jotform SignClear
Date*
SECTION E. PAYMENT
Once your registration has been submitted by clicking the green button "Submit Application" below, you will be directed to the checkout page to make payment.

WORK IT Girl Fees

10-WEEK PROGRAM - Early-Bird = $299 + HST

(EXTENDED! Valid until September 16 11:59PM)

10-WEEK PROGRAM - Regular = $320 + HST

(valid after September 16)

REGISTER FOR THE FULL YEAR AND SAVE $140!

$820 + HST (includes 3 Terms - Fall, Winter, Spring 2024-25)

**If interested in this option, email info@janetco.live to set up payment separately. Please go ahead and hit the green button "Submit Application" to complete the first part of the registration.

Once payment has been received and we have reviewed all your details, you will receive an email confirmation informing you that your child is officially in the WORK IT Girl program.
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WORK IT GIRL Leadership & Dance Program

Student Registration Form

SECTION A. STUDENT DETAILS

SECTION B. PARENT/GUARDIAN INFORMATION *** If you are a Returning Student and Parent/Guardian Information has NOT changed, skip to SECTION C.

SECTION C. EMERGENCY CONTACT & ADDITIONAL STUDENT INFO *** If you are a Returning Student and Emergency Contact Information has NOT changed, skip to SECTION D.

SECTION D. PROGRAM REGISTRATION & WAIVER

WORK IT Girl Liability Waiver

SECTION E. PAYMENT