Intensive Program Registration Form 2025-2026

Intensive Program Registration Form 2025-2026

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
Program Level Selection*
prevnext( X )
Pre-Inter 1 Intensive ProgramThis program requires dancers to take ALL classes within their level, participate in exams, and in-studio workshops.
$440.00CAD Quantity



Pre-Inter 2 Intensive Program This program requires dancers to take ALL classes within their level, participate in exams, and in-studio workshops.
$580.00CAD Quantity



Inter Intensive ProgramThis program requires dancers to take ALL classes within their level, participate in exams, and in-studio workshops.
$580.00CAD Quantity



Pre-Adv/Adv 2 Intensive Program This program requires dancers to take ALL classes within their level, participate in exams, and in-studio workshops.
$580.00CAD Quantity



Pre-Adv/Adv 2 Tap (Add On)
$20.00CAD Quantity



Registration Fee (Student)Non-refundable
$40.00CAD



Registration Fee (Family)Non-refundable
$60.00CAD



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD
Payment Method*

VISAMASTERCARDE-TRANSFER
(If E-Transfer is selected)
I name agree to send payment on the 1'st of each month to adancec@shaw.ca. Please indicate child's name and what you are paying for (i.e. Paige Yee - Oct Monthly)
(If Credit Card is selected)
Payments made via Credit Card require our authorized Credit Card form which will be e-mailed separately. If you do not receive this form, please e-mail adancec@shaw.ca

Payment Record

	Payment Type	Amount
Non-Refundable Deposit (June and Reg fee)
September 1, 2025 (Office Use Only)
October 1, 2025 (Office Use Only)
November 1, 2025 (Office Use Only)
December 1, 2025 (Office Use Only)
January 1, 2026 (Office Use Only)
February 1, 2026 (Office Use Only)
March 1, 2026 (Office Use Only)
April 1, 2026 (Office Use Only)
May 1, 2026 (Office Use Only)
Apply Credit (Office Use Only)

Waivers & Policies

Upon registering at Airborne Dance Centre it is agreed that all students, parents, guardians and relatives have read & understand the “Studio Handbook”, our policies & procedures while attending classes at the studio and registration policies and requirements. 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 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 studio handbook, 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.
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:

Intensive Program Registration Form 2025-2026

Waivers & Policies