FVBD CLASS REGISTRATION 2026/2027

Student Name

First NameLast Name

Student Birthdate

Date

Gender

Parent/Guardian Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

2nd Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Tap Dance Classes Mondays (Cloverdale)

Musical Theater Classes Mondays (Cloverdale)

Baton Twirling Classes Tuesdays (Cloverdale)

Baton Twirling Classes Wednesdays (Aldergrove)

Hip Hop Classes Thursdays (Cloverdale)

PomPom Team Classes Fridays (Cloverdale)

Pre School/Primary Saturdays Classes

Any Additonal Information (allergies, special needs etc)

Participants Assumption of Risk 2026-2027 Season: I am aware and understand that there area number of inherent risks involved in my child's and mine participation indancing and twirling activities. These risks are beyond the control of theCanadian Baton Twirling Federation, the Provincial Baton Twirling Organization,Association of Corporation in the province, as well as Fraser Valley Baton andDance, in which any competition and/or sanction activity in which myself or mychild participate takes place, the host club(s) or province, the event orcompetition director, the owner, occupier, operator, and/or tenant of the eventfacility, and any person, corporation or organization associated with theoperation of such competitions or events. I further agree that I am assumingpersonal responsibility for any costs as well as any loss, damage, injury, orambulance service resulting from or in connection with such participation ateach competition or event in which me or my child takes part, or an event inwhich me or my child participate. I have read and understood this waiver.

MEDIA CONSENT: Photography & Videography, Media Coverage, Social Media & Website 2026-2027 SeasonDuring the year, photographs of athletes/students may be takenduring competitions, banquets, clinics, awards and special presentations orother occasions. Your consent is required or parental/guardian consent ifathlete is under the age of majority. Media coverage is occasionally donethroughout the season to promote the sport of Baton Twirling and to acknowledgeclub and athletes accomplishments. This means publishing of athletes names, andclub associations in the localnewspapers, and on the CBTF and club website/facebook page. On occasion themedia will attend competitions including radio, television, newspaper etc. Atthese times, it will be the parents’ responsibility to provide parental consentto the specific media outlets.