Registration

To complete this registration there is a $35.00 (+hst) fee. You will be taken to PayPal to complete your transaction. You do not need create an account, you will only need to enter your credit card.

*Required

Student First Name*:

Student Last Name*:

Date of Birth*:

Address*:

City*:

Postal Code*:

Email*:

Home Phone:

Mobile Phone:

Name of Parent/Guardian*:

Parent/Guardian Phone*:

Emergency Contact*:

Emergency Contact Phone*:

Relationship to Dancer*:

Allergies:

Health Concerns / Inuries (Past or Present):

Permission for Danceability to use photographs of students for publicity purposes: Yes: No:

Class Name:

Waiver: I understand and agree that in participating in a dance class, workshop, rehearsal or performance, there is a possibility of physical injury. I voluntarily agree, therefore, to assume all risks and responsibility for such injury or accident, which might occur to my child or me during any of Danceability’s classes, rehearsals, performances or activities. I also exempt, release and indemnify Danceability, its owners, volunteers, assistants, employees, guests, faculty and/or students from any liability claims, demands or causes of action whatsoever from any damage, loss, injury to me or my children or property which may arise with participation in any classes or activities conducted by Danceability. I understand that I should be aware of my physical limitations and agree not the exceed them. If I am signing this waiver for my child, I certify that I am the parent of legal guardian and have the right to waive these rights.

Parent/Guardian Signature: