Swan School of Dance Registration Form

Students Name

First NameLast Name

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

Format: (000) 000-0000.

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

Comments and requests

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

* PLEASE SELECT FROM THE FOLLOWING CLASSES. All classes offered and times are subject to change. Ages are of October 31st of this year. There is an early bird discount automatically applied if registered on or before 8pm on September 11th, 2026. * IF TAKING EXTRA CLASS PLEASE PUT IN ADDITIONAL CLASS SLOT SO YOU RECEIVE THE EXTRA DISCOUNT FOR 2ND CLASS **

MINI MOVERS

Open to ages 3 & 4. Students must be 3 by October 31st of this year This half hour class is designed with the capability, imagination, and creativity for your 3 and 4 year olds. A joyful way for children to explore movement through music. It involves an introduction to early dance steps and skills using fun and innovative excercises. Provides an opportunity to co-operate with others, stimulate imagination, and promote creativity.

$250.00 CAD CLASS TIMES AVAILABLE

INTRO TO DANCE - Tuesday 5:45-6:30

Open to 5 year olds. Students must be 5 by October 31st of this year. In this 45 minute class the students will be instructed in all disciplines (except Tap) and receive a foundation in dance technique. The cost of the class is $320.00/yr

$320.00 CAD

COMBINATION CLASS

Available for 5 to 7 year olds. Must be 5 as of October 31st of this year. 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 $350.00/year

$350.00 CAD CLASS TIMES AVAILABLE

STREET JAZZ/JAZZ/HIP HOP

Ages 6 to adult. Students will be instructed and receive a combination of disciplines ranging from Jazz, Street Jazz, Hip Hop, focusing on urban contemporary movements. Cost of the class is $350.00

$350.00 CAD 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 $350.00

$350.00 CAD CLASS TIMES AVAILABLE

ADDITIONAL CLASSES

Your 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

$300.00 CAD Extra Class

ADULT LINE DANCE CLASS-time will confirm after registration

FUN, FITNESS, FRIENDS!! Line Dancing is a fun, choreographed group dance with repeated steps that you can enjoy with or without a partner! This class is offered in six week sessions. First Session Begins in October

$100.00 CAD

Costume Deposit

Each dancer is required to put a deposit on their costumes for each class they are in. This money will go towards your final costume costs at the end of the year. This helps in spreading out the cost of the costumes.

$30.00 CAD

Waiting list

If the class you are wanting to enter is full. Please check off this box, and put the class you want to be entered into in the comment and request section above. You will be put onto a waiting list in the order received

Free Quantity

Total

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 16TH, AT 5:00-6:30 PM, AT THE DANCE SCHOOL.