Swan School of Dance Registration Form

Students Name

First NameLast Name

Phone Number (A number that can be reached during class time)

E-mail

example@example.com

Age

Date of Birth ( Day, Month, Year)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Guardians name

First NameLast Name

* PLEASE SELECT FROM THE FOLLOWING CLASSES. All classes offered and times are subject to change There is an early bird discount if registered on or before 8pm on September 11th, 2025. Also, age is just a guideline. We take past experience into account when making the classes

MOVERS AND GROOVERS - Tuesday 5:00 - 5:30pmOpen to ages 3. Birth Date on or before Oct 31, 2021 Basic Ballet steps, and creative movement. A joyful way for children to explore movement through music. Developing basic dance skills as well as the opportunity to co-operate with others, stimulate imagination, and promote creativity. Cost of the Class is $240.00 The times of the class are as follows -

$240.00CAD

MOVERS AND GROOVERS - Wednesday 5:00 - 5:30 pm Open to ages 3. Birth date on or before Oct, 31, 2021. Basic Ballet steps, and creative movement. A joyful way for children to explore movement through music. Developing basic dance skills as well as the opportunity to co-operate with others, stimulate imagination, and promote creativity. Cost of the Class is $240.00 The times of the class are as follows -

$240.00CAD

CREATIVE MOVEMENT- Tuesday 5:30-6:00 (THIS CLASS IS NOW FULL)Available to students 4 yrs of age. Birth date on or before Oct, 31, 2020. Basic Ballet steps, and creative movement. A joyful way for children to explore movement through music. Developing basic dance skills as well as the opportunity to co-operate with others, stimulate imagination, and promote creativity. The cost of the class is $240.00/year.

$240.00CAD

INTRO TO DANCE - Tuesday 6:00-7:00Open to ages 5-6. Students will be instructed in all disciplines (except Tap) and receive a foundation of dance techniques. The cost of the class is $340.00/yr

$340.00CAD

COMBINATION CLASS- Wednesday 5:30-6:30 (subject to change) Available to 5 year olds. This combination class divides its time between the Jazz and Tap disciplines. A chance to take both disciplines before choosing what they want to go into. The cost of this class is $340.00/year

$340.00CAD

COMBINATION CLASS - Monday 600:-7:00 pm Available from ages 6-7. This combination class divides its time between the Jazz and Tap disciplines. A chance to take both disciplines before choosing what they want to go into. The cost of this class is $340.00/year

$340.00CAD

STREET JAZZ/JAZZ/HIP HOPAges 7 to adult. Students will be instructed and receive a combination of disciplines ranging from Jazz, Street Jazz, Hip Hop, focusing on urban contemporary movements.

$340.00CAD CLASS TIMES AVAILABLE

TAP Available to students 8-adult. Students will be instructed and receive a foundation in Tap Techniques. The cost of the class is $340.00

$340.00CAD CLASS TIMES AVAILABLE

Additional ClassesYour chance to take both disciplines if you want the full experience. If registered for a class and would like to take two, the second class is offered at a discount rate. The cost of the class is $300.00

$300.00CAD Extra Class

WAITING LISTIf the class you are waiting for is full please check this spot. Put the class you are waiting for in the comment section below. I will contact you if a space opens in the class you are wanting, or maybe an alternative class that is available.

$ FreeCAD

Total

$0.00CAD

Comments and requests

ie: special requests, such as who they want to be put with in classes etc.

DISCLAIMER: I am satisfied that I or my son/daughter is in good health and is able to partake in strenuous activities. I consent to relieve the Swan School of Dance 99 and its employees and instructors of any liability for my child/self. I understand that all responsibility for safety is ours/mine*

Date

SWAN SCHOOL OF DANCE REGISTRATION FORM

Payment for registration is accepted the following ways:

PLEASE NOTE: THE DANCEWEAR SWAP AND SALE WILL BE HELD ON WEDNESDAY, SEPTEMBER 17TH, AT 5:00-6:30 PM, AT THE DANCE SCHOOL.