2026 ENROLLMENT FORM
Please complete the below form in full.
Branch
*
Please Select
Glenanda
Three Rivers
Please select a branch most convenient to your location.
Primary Account Holder Details
Parent/Guardian/Adult Dancer above the age of 18 - These details will be used for billing the enrolled account and for all communication regarding the enrolled dancer(s). The person listed below assumes primary financial responsibility for this account.
Parent/Guardian Name
*
First Name
Last Name
ID Number
*
E-mail Address
*
example@example.com
Cell Number
*
Address
*
Street Address
Street Address Line 2
City
Province
Zip Code
Emergency Contact Name (If Parent/Guardian cannot be reached)
*
Relationship to Student
*
Emergency Contact Number
*
Student 1 Details
Please complete the section in full for Student 1.
Student Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Age
*
Student ID/Birth Certificate Number
*
Grade in School 2026
*
Please Select
Not Applicable
Preschool
R-RRR
1
2
3
4
5
6
7
8
9
10
11
12
Student
Working
Student email
example@example.com
Student Cell Phone
New or Returning Student?
*
Returning Student
New Student
Level Selection
*
Please Select
Beginner
Intermediate
Advanced
Professional
Teacher
I would like to participate in:
*
Open Class
Exam Syllabus
Competitions
Adult Class
Dance Disciplines
*
Tap
Hip Hop
Modern / Contemporary / Jazz / Lyrical / Show Dance
Ballet
Popping
K-Pop
Health Conditions
Please list any medical, physical, or mental health conditions, allergies, or injuries (current or historical) that our instructors should be aware of to ensure the dancer's safety and well-being. This information will be kept strictly confidential.
Registration T-Shirt
*
Please Select
5-6
7-8
9-10
11-12
X-Small
Small
Medium
Large
X-large
XX-Large
3XL
Student 2 Details
All info is required as per Student 1. Please complete the section in full for this Student.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Age
Student ID/Birth Certificate Number
*Required for Competition & Exam purposes.
Grade in School 2026
Please Select
Not Applicable
Preschool
R-RRR
1
2
3
4
5
6
7
8
9
10
11
12
Student
Working
Student email
example@example.com
Student Cell Phone
New or Returning Student
New
Returning
Level Selection
Please Select
Beginner
Intermediate
Advanced
Professional
Teacher
I would like to participate in:
Open Class
Exam Syllabus
Competitions
Adult Class
Dance Disciplines:
Tap
Hip Hop
Modern / Contemporary / Jazz / Lyrical
Ballet
Popping
K-Pop
Health Conditions
Please list any medical, physical, or mental health conditions, allergies, or injuries (current or historical) that our instructors should be aware of to ensure the dancer's safety and well-being. This information will be kept strictly confidential.
Registration T-Shirt
Please Select
5-6
7-8
9-10
11-12
X-Small
Small
Medium
Large
X-Large
XX-Large
3X-Large
3 Student Details
All info is required as per Student 1. Please complete the section in full for this Student.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Age
Student ID/Birth Certificate Number
*Required for Competition & Exam purposes.
Grade in School 2026
Please Select
Not Applicable
Preschool
R-RRR
1
2
3
4
5
6
7
8
9
10
11
12
Student
Working
Student email
example@example.com
Student Cell Phone
Level Selection
Please Select
Beginner
Intermediate
Advanced
Professional
Teacher
New or Returning Student?
New
Returning
I would like to participate in:
Open Class
Exam Syllabus
Competitions
Adult Class
Dance Disciplines:
Tap
Hip Hop
Modern / Contemporary / Jazz / Lyrical
Ballet
Popping
K-Pop
Health Conditions
Please list any medical, physical, or mental health conditions, allergies, or injuries (current or historical) that our instructors should be aware of to ensure the dancer's safety and well-being. This information will be kept strictly confidential.
Registration T-Shirt
Please Select
5-6
7-8
9-10
11-12
X-Small
Small
Medium
Large
X-Large
XX-Large
3X-Large
Enrollment Terms
Please take careful note of our Studio Enrollment Terms.
Please take careful note of our General Rules, Entrance Rules, Late Tuition, Waiver & POPI Act below:
Today's Date
/
Month
/
Day
Year
Date
Signature
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