Dance Sensations by Desire

Please fill out the registration form below. You will be emailed a copy of the form. All fields marked with(*) are mandatory. Dance Years start in September and end in mid-June.

Dance Year (*)

Please choose the Dance Year you are registering for.

Student's First Name:(*)

Please enter a Student First Name(letters only).

Student's Last Name:(*)

Please enter a Student Last Name(letters only).

Date of Birth(*)

Please enter the students birthdate.

Click the Date button to choose a Birth date. You can only choose dates between Jan 1920 and Jan 2011.

Gender(*)

MaleFemalePlease choose the students Gender.

Home Address(*)

Please enter the students home address

City:(*)

Please enter the Students City

Postal Code:(*)

Please enter the Students Postal Code

Previous Dance Studio (If other than Dance Sensations):

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Teacher:

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Primary Guardian's Information

Primary Guardian's First Name(*)

Please enter the Primary Guardian's First Name

Primary Guardian's Last Name:(*)

Please enter the Primary Guardian's Last Name

Home Phone:(*)

Please enter the students Primary Guardian's Home Phone (only numbers.ex. 1234567)

Cell Phone

Please enter cell number (only numbers ex.1234567).

Work Phone:

Please enter Primary Guardian Work Number (only numbers ex.1234567)

Primary Guardian's Relationship With Student (ie. Mother)(*)

Please enter the Primary Guardian's Relationship With Student (ie. Mother)

Secondary Guardian's Information

Secondary Guardian's First Name:(*)

Please enter the Secondary Guardian's Last Name

Secondary Guardian's Last Name:(*)

Please enter the Secondary Guardian's Last Name

Home Phone:(*)

Please enter the students Secondary Guardian's Home Phone (only numbers ex. 1234567)

Work Phone:

Please enter secondary guardian work number (only numbers ex.1234567)

Cell Phone

Please enter cell number (only numbers ex.1234567)

Secondary Guardian's Relationship With Student (ie. Father)(*)

Please enter the Secondary Guardian's Relationship With Student (ie. Father)

Email Contact (all communications will be sent to this)

E-mail address(*)

Please enter the main email that we can use to communicate with you.

Student's Emergency Contacts Information:

Allergy or Medical Alert:(*)

YesNoPlease indicate whether the student has an allergy or medical alert.

Name:(*)

Please enter the Students Emergency Contact Name (letters only)

Emergency Number(*)

Please enter the students Emergency Contact Number (only numbers ex.1234567)

Pre-School Programs:

Pre School Programs:(*)

Not Applicable(None)

Creative Dance/Tap Combination Class

Creative Dance

You & Me

Please choose one or more PreSchool Programs. You can choose "Not Applicable(None)" as well.

Dance Explosion Competition:
Dance explosion is a dance competition organized and run by our studio. This competition is another opportunity for all level and ages of dancers to perform their routine(s) on stage for family, friends, and special guest adjudicators. It is meant to be a non stressful, fun filled weekend of dance for the students and their families.

I am interested in having the student participate in Dance Explosion Competition if there is enough interest in the group to do so.

Dance Explosion Competition(*)

YesNoPlease indicate whether the students will participate in Dance Explosion Competition.

Dance Programs:

I am interested in having the student participate in competitions.(*)

YesNoPlease indicate whether the student will participate in competitions.

I am interested in having the student participate in CDTA and/or ADAPT exams.(*)

YesNoPlease indicate whether the student will participate in CDTA and/or ADAPT exams.

Release Of Liability:
As the legal parent or guardian, I release and hold harmless Dance Sensations By Desire

Release of Liabillity(*)

I've read and agree to the terms of the Release Of LiabilityPlease indicate if you have read and agree to the terms of the Release Of Liability.

Medical Emergencies:
The undersigned gives permission to Dance Sensations By Desire

Medical Emergencies(*)

I've read and agree to the terms of the Medical Emergencies Please indicate that you have read the terms of the Medical Emergencies and agree.

Payment Policies
Our dance studio requires families to make payment for tuition in the form of monthly post dated cheques dated the 1st of each month; September to May. An alternative payment option is 3 post dated cheques dated Sept 1 (Sept, Oct ,Nov tuition), Dec 1 (Dec, Jan, Feb tuition) and March 1 (Mar, April, May tuition). Parents may also pay for the full year's tuition in one lump payment. This payment must be received at the time of registration but the cheque may be post dated for September 1. Monthly tuition is mandatory until the studio has received a written request of cancellation. WRITTEN notification MUST be received PRIOR to the 1st of the month. If notification is not received by the 1st of the month, you are responsible for all fees incurred to date. Any attendance during a month constitutes a full month's tuition. A registration fee of $60.00 per family is due and payable at the time of registration and is non-refundable.

Payment Policies(*)

I've read and agree to the terms of the Payment PoliciesPlease indicate that you have read and agree to the Payment Policies

Costume Fees for All Students:
A Costume deposit is due and payable at the time of registration (please see Welcome Package.)

Costume Fees(*)

I've read and agree to the terms of the Costume Fees for All Students (Please see Welcome Package).Please indicate that you have read and agree to the terms of the Costume Fees for All Students

Entry Fees : Pre Junior-Senior level students only:
Please note this fee will NOT be collected for the Pre Beginner Creative Dance and Beginner Creative Dance/Tap Combination classes at this time.

An Entry fee deposit is due and payable at the time of registration (please see Welcome Package).

Entry Fee Deposit(*)

Not Applicable (the student is not a Pre-Junior/Senior)

I agree to pay the Entry Fee Deposit

Please indicate that you agree to pay the Entry Fee Deposit. If the student is not a Pre Junior-Senior level student please choose "Not Applicable"

Exam/Workshop: Junior-Senior level students only:
An Exam/Workshop fee deposit is due and payable at the time of registration (please see Welcome Package).

Exam/Workshop Fee(*)

Not Applicable (the student is not a Junior or Senior Student)

I agree to pay the Exam\Workshop fee due in full October 15th.

Please indicate that you agree to pay the Exam\Workshop fee. If the student is not a Junior-Senior level student please choose "Not Applicable"

Signature Authorization
As the legal parent or guardian, I release and hold harmless Dance Sensations By Desire

Signature Authorization(*)

I, the undersigned, on behalf of the parties registered, authorize Dance Sensations By DesirePlease indicate that you, the undersigned, on behalf of the parties registered, authorize Dance Sensations By Desire

Enter your Full Name(*)

Please enter your full name.

Comments

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security(*)

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