Clone of K&K DANCE DREAMZ SUMMER 2025 REGISTRATION FORM

K&K Dance Dreamz Summer 2026 Registration Form
K&K DANCE DREAMZ SUMMER PROGRAMS!

LIMITED SPACES!

Check on our website (Programs/Summer) for schedule & updates on availability!

Please provide your information below and click Submit. E-transfer payment to kandkdancedreamz@gmail.com. Payment required to complete registration and reserve your space. Registration is confirmed upon receipt of payment.

WEEKLY CLASSES - TUESDAY JULY 7, 14, 21, 28: $80+HST=$90.40

Mini "Mix it Up" age 4-6 (6:00-6:45): Try a new style each week!

Acrobatic Arts Level 1 age 6-10 (5:00-5:45)

Acrobatic Arts Level 1-2 age 7-11 (5:45-6:30)

Acrobatic Arts Level 2-3 age 8+ (6:30-7:15)

Acrobatic Arts Level 4-6 age 10+ (7:15-8:00)

DANCE CAMP (ages 5-12): A variety of dance styles, games, crafts & more! Perform at the end of the week for family and friends!

July 20-24 (9:30-3:00 FULL DAY):$250+HST=$282.50

"TINY STARS" INTRO TO DANCE mini session (Age 2.5-4):

Option 1. Tues. July 7, 14, 21, 28 (5:30-6:00) $55+HST=$62.15

Option 2. Tues. Aug. 25, 27, Sept. 1, 3 (4:30-5:00) $55+HST=$62.15

PRIVATE LESSONS:

$60+HST=67.80 per hour/$45+HST=$50.85 per 45 min. (E-mail to book)

COMPETITIVE INTENSIVE CLASSES: Register for August Intensive Summer Classes with Fall registration (no additional form needed). For students not currently registered at K&K, contact us for placement.

**Please note any summer Program/workshop/camp fees/private lesson fees are non-refundable, unless we are not able to run in-person or there is insufficient enrollment, in which case a full refund/credit will be issued.

PLEASE COMPLETE A SEPARATE REGISTRATION FOR EACH STUDENT.

*denotes required field
Referral Information (new students only)
How did you hear about us?
referral name/online/facebook/ad etc.
Family Information
Family Last Name*
Home Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Primary Contact E-mail*

Confirmation Emailmyname@example.com
Student Information
Student Name *

First NameLast Name
Age*
As of July 1/2025
Birth Date*

MonthDayYear
Student e-mail
example@example.com
List any health/medical issues/medications/ special needs/allergies (epi-pen?) or any other information of which staff should be aware.*
Type N/A if none
Parent/Guardian Information
CONTACT #1 (Primary to be used 1st in case of emergency etc.)
Guardian 1 Name*

First NameLast Name
Relationship to participant*
Guardian 1 Cell #*

Area CodePhone Number
Guardian 1 Home #*

Area CodePhone Number
CONTACT #2
Guardian 2 Name

First NameLast Name
Relationship to participant
Guardian 2 Cell #

Area CodePhone Number
Guardian 2 Home #

Area CodePhone Number
Emergency Contact Info

(alternate contact in case Contact #1 or #2 can not be reached)
Emergency Contact Name*

First NameLast Name
Relationship to participant*
Emergency Contact Cell/Home #*

Area CodePhone Number
Camp/Class/workshop selection(s)

Fill in your choices below: (see Schedule of options above or on website: Programs/Summer) Website schedule will be updated to show availability. For Private lessons write "private lesson" in column 1.
Required Policies and Agreements

Please read carefully. All policies and agreements will be in effect upon registration.
PHOTOGRAPHY & VIDEO RELEASE

Each student and his/her legal guardian(s) hereby release to K&K DANCE DREAMZ INC. the rights to all photography and video that may be taken by or for K&K DANCE DREAMZ INC. during classes at the studio or online or at performances/competitions for use in K&K DANCE DREAMZ INC. advertising and promotion, including television coverage, website, social media platforms, print advertising or for archiving. K&K DANCE DREAMZ INC. may choose not to use any videos or photos at this time, but may do so at it's own discretion at a later date.
WAIVER OF LIABILITY FOR ALL CLAIMS AND RELEASE OF LIABILITY

PLEASE READ CAREFULLY BEFORE SIGNING.

Completed waivers must be returned prior to entry and use of K&K Dance Dreamz Inc’s facilities.

By signing below, the Dancer (named below) and/or the Dancer’s Guardian understands and acknowledges, the risks, dangers, and hazards which are inherent while participating in dance; whether joining online classes or in-person or by travelling to and from and participating in competitions and/or performances (the “Activity”) and on entering all lands, properties, facilities, structures, installations, vehicles or equipment owned, leased, operated or otherwise controlled by K&K Dance Dreamz Inc. (the “Premises”), which risks include, but are not limited to: the potential for bodily injury or illness (including contraction of COVID-19); contact or interaction with others who may have been exposed to COVID-19; close proximity to or contact with surfaces, equipment, fixtures, or other objects that, despite K&K Dance Dreamz’s efforts, may be infected with COVID-19 or other communicable illnesses; permanent disability, paralysis, or loss of life; collision with natural or manmade objects; tripping hazards; imperfect venue; equipment failure; dancers of varying skill levels; the negligent use of the Premises by others; inadequate safety measures or unsafe Premises; other circumstances known, unknown or beyond the control of Kyla Dixon, Kimberly Majid, K&K Dance Dreamz Inc., its owners, partners, affiliates, directors, employees, agents, dance and program instructors, officers or volunteers (together, the “Releasees”); or negligence or omission of the Releasees (collectively, the “Risks”).

I confirm that I have read and fully understand this waiver and release of liability. I sign this waiver and release of liability voluntarily without any inducement, assurance, or warranty being made to me.

In consideration for allowing the Dancer to participate in the Activity or use the Premises, the Dancer and/or the Dancer’s Guardian: (a) release, discharge and forever hold harmless the Releasees from any and all liability for damages or loss arising as a result of the Risks arising from participation in the Activity or entry into or use of the Premises; (b) waive any right to sue the Releasees in respect of all causes of action (including for injuries or illness caused by their own negligence), claims, damages or losses of any kind that may arise as a result of the Risks or in connection with participation in the Activity or entry into or use of the Premises, including without limitation the right to make a third party claim or claim over against the Releasees arising from the same; and (c) freely assumes all risks associated with the Risks or anything incidental to the Risks, which may arise as a result of or in connection with use of the Premises. YOU ARE GIVING UP LEGAL RIGHTS TO ANY AND ALL FUTURE CLAIMS AGAINST K&K DANCE DREAMZ INC. AND THE RELEASEES.
PRINT NAME (Dancer)*

First NameLast Name
Date of Birth*

MonthDayYear
PRINT NAME (Guardian)*

First NameLast Name
Signature (Participant or Guardian for minor)*

Clear
Date*

MonthDayYear
Date
Comments or Questions
Should be Empty:

K&K Dance Dreamz Summer 2026 Registration Form

Referral Information (new students only)

Family Information

Student Information

Parent/Guardian Information

Emergency Contact Info

Camp/Class/workshop selection(s)

Required Policies and Agreements