POM Session Registration

DANCE ABERDEEEN POM SESSION REGISTRATION 2025/2026

Please fill in the form below. The individual filling out the form must be the Parent or Legal Guardian of the participant and must be 18 years of age or older. Although POM class is run through Dance Aberdeen, the sick policy, festival shift policy and missed class policy will not apply for these classes.
Dancer Name*

First NameLast Name
Date of Birth*
Parent/Guardian Name (Main Contact)*

First NameLast Name
Emergency Contact (Other than Main Contact)*

First NameLast Name
Phone Number(Main Contact)*
Format: (000) 000-0000.
Emergency Contact (Other than Main Contact)*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Email (Optional)
example@example.com

PAYMENTS

ALL SESSIONS WILL NEED TO BE PAID IN FULL BEFORE THE FIRST POM CLASS.

PLEASE E-TRANSFER PAYMENTS TO danceaberdeentreasurer@gmail.com, OR YOU CAN BRING A CHEQUE MADE OUT TO DANCE ABERDEEN INC. THE FIRST DAY OF CLASS.

Dance Aberdeen is requesting your permission to post photos and/or videos on the Dance Aberdeen website, social media channels(Including Instagram/facebook, etc) and/or additional publications, such as magazines/print, thank you cards, etc. These photos and/or videos, either in its entirety or portions thereof, may be used for promotional purposes by Dance Aberdeen, in print or in video format for broadcast or non-broadcast purposes. Names/Address etc will NOT be made public.*

I hereby authorize the Dance Aberdeen Inc. to use my photo and/or videos for use in publications,videos and online material that promotes Dance Aberdeen ActivitiesI DO NOT authorize the Dance Aberdeen Inc. to use my photos and/or videos for use in publications,videos and online material that promotes Dance Aberdeen Inc.
Name of individual agreeing to the terms and conditions (Must be 18+) *

First NameLast Name
Date Agreed Upon*

MonthDayYear
Date

Dance Aberdeen Liability Release Form, Assumption of Risk, and Agreement. The Parent or Guardian attesting/agreeing to these terms must attest to the understanding and agreement by selecting the boxes and be 18 years of age or older
I/We have read/understood and agree
I/we agree to release from responsibility Dance Aberdeen Inc, Aberdeen, SK including all teachers, dancers, board members, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold Dance Aberdeen Inc, Aberdeen, SK, Liable for any personal injury including, but not limited to, scrapes, bruises, cuts, sprains, fractures, broken bones, sickness, concussions, or death or any personal property damage/loss, which may occur on the premises before, during or after classes.*

I/We have read/understood and agree
I/We have read/understood and agree
I/We have read/understood and agree
I Agree
I Agree
I Agree
Name of individual agreeing to the terms and conditions (Must be 18+) *

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

DANCE ABERDEEEN POM SESSION REGISTRATION 2025/2026