Clone of WORK IT Girl Program Registration Form (Full Year 2026-27)

WORK IT GIRL Leadership & Dance Program

We are excited to have you join our WORK IT GIRL Movement! Register below for the 2026-27 Season and learn leadership and dance skills from high-quality teachers within a fun, motivating and empowering environment.
Student Registration Form

PLEASE CAREFULLY FILL OUT THE INFORMATION BELOW.
SECTION A. STUDENT DETAILS
Are you a new or returning family?
If new, how did you hear about us?
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
SECTION B. PARENT/GUARDIAN INFORMATION *** If you are a Returning Student and Parent/Guardian Information has NOT changed, skip to SECTION C.
Parent/Guardian Name:

First NameMiddle NameLast Name
Relation to Student:
Parent/Guardian Email:
example@example.com
Parent/Guardian Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION C. EMERGENCY CONTACT & ADDITIONAL STUDENT INFO *** If you are a Returning Student and Emergency Contact Information has NOT changed, skip to SECTION D.
Secondary Emergency Contact Name (in case we can't get in touch with the parent/guardian filling out this form)

First NameMiddle NameLast Name
Relation to Student
Parent/Guardian Email #2
example@example.com
Parent/Guardian Phone #2
Student Years of Dance Experience
What are some of the most important leadership qualities you would like the student to learn in this program?
Please share with us any information that you would like us to know about your child:
SECTION D. PROGRAM REGISTRATION & WAIVER
Locations and Levels
Please email info@janetco.live if you have questions about which level to enter. If a a program is cancelled due to low enrolment, registrants will be given one week notice and refunds will be issued subsequently.
WORK IT Girl Liability Waiver

Please read over the terms and conditions before signing this form.
WORK IT Girl Liability Waiver
CANCELLATION POLICY
MEDIA CONSENT

I give my voluntary consent for WORK IT Girl (Janet Co.) to photograph students for publications and all other marketing materials to be used for the sole purpose to promote the WORK IT Girl Program. I also understand that no royalty, special credit or other fees shall be made payable to me by reason of such use. Janet Co. will become the copyright owner of the Recording and I waive rights to privacy and compensation.
DANCE LIABILITY
Comments/Questions
Signature of Parent/Guardian (please sign in form with your cursor)
Date
SECTION E. PAYMENT
WORK IT Girl Fees

EARLY-BIRD FEE - $299 + HST

REGULAR FEE - $320+HST

Once your registration has been submitted by clicking the green "Register" button below, you will be directed to the checkout page to make payment.

Once payment has been received and we have reviewed all your details, you will receive an email confirmation informing you that your child is officially in the WORK IT Girl program!
Should be Empty:

WORK IT GIRL Leadership & Dance Program

Student Registration Form

SECTION A. STUDENT DETAILS

SECTION B. PARENT/GUARDIAN INFORMATION *** If you are a Returning Student and Parent/Guardian Information has NOT changed, skip to SECTION C.

SECTION C. EMERGENCY CONTACT & ADDITIONAL STUDENT INFO *** If you are a Returning Student and Emergency Contact Information has NOT changed, skip to SECTION D.

SECTION D. PROGRAM REGISTRATION & WAIVER

WORK IT Girl Liability Waiver

SECTION E. PAYMENT