Clone of Recreational Registration Form: 2025-2026 Dance Season

Summer Dance 2026 Registration Form:

NEW REGISTRATION PROCESS: Please fill in the form below to register for the upcoming Summer Dance Session. Payment is required at the end of this form. Summer Dance is payment in full, there are no payment plans available due to the short term of your program -- If you have any questions or concerns regarding tuition fees or our 2026 Summer Dance Session, please email us at the following email: info@creativeconnexions.ca .
Participant's Information:
Full Name*

First NameLast Name
Birth Date:*

MonthDayYear
Date
Gender*

FemaleMaleOther
Preferred Pronouns:*
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Phone Number*
Contact E-mail*
example@example.com
Parent/Guardian Information 1:
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Participant:*
Parent/Guardian Information 2:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to Participant:
Emergency Contact Information:
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Alt. Phone Number
Please enter a valid phone number.
Relationship to Participant:*
Please list any health concerns or information regarding your participant that our staff should be notified of:
How did you hear about us?*
Please Specify

Summer Dance 2026 Registration Form: