Dance Sensations Registration
Home About Us Calendar Contact Us Dance Programs Links Members News Registration Summer Camp
Dance Sensations Home Registration

PostHeaderIcon Registration for 2011 - 2012 Season


Please fill out the registration form below. You will be emailed a copy of the form. All fields marked with(*) are mandatory.

Student Information:
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 (*)
Click the Date button to choose a Birth date. You can only choose dates between Jan 1920 and Jan 2010.
Please enter the students birthdate.
Gender (*)
Please 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):
Invalid Input
Teacher:
Invalid Input

Student's Parent\Guardian Information:

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

Secondary Guardian's Information

If no secondary guardian please re-enter the primary guardian's information here
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
Secondary Guardian's Relationship With Student (ie. Father) (*)
Please enter the Secondary Guardian's Relationship With Student (ie. Father)
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)

Email Contact:
E-mail address (all communications will be sent to this): (*)
Please enter the main email that we can use to communicate with you.

Student's Emergency Contacts Information:
Allergy or Medical Alert: (*)
Please 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)

Classes Interested In:

Pre School Programs:
Pre School Programs: (*)




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. (*)
Please indicate whether the students will participate in Dance Explosion Competition.

Dance Programs:
Dance Programs: (*)













Please choose one or more Dance Programs. You can choose "Not Applicable(None)" as well.
I am interested in having the student participate in competitions. (*)
Please indicate whether the student will participate in competitions.
I am interested in having the student participate in CDTA and/or ADAPT exams. (*)
Please 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’, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Dance Sensations By Desire’, its owners and operators or in route to or from any of said premises. (*)
Please 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’, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health. I request that our doctor/physician be called and that my child be transported to the hospital. (*)
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 June. 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, June 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, 2011. Monthly tuition is mandatory until the studio has received a written request of cancellation. Any attendance during a month constitutes a full month's tuition. A registration fee of $30.00 per family is due and payable at the time of registration and is non-refundable. (*)
Please 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” and/or General Info for this information). This fee can be made in the form of 3 post dated cheques dated the Sept 1, Oct 1, and Nov 1, 2011 or one lump payment due on or before November 1, 2011. This deposit will be subtracted from your costume invoice that is sent out when the costumes arrive for our year end dance showcase and/or competitions. The costume deposit becomes non-refundable by October 31, 2011. (*)
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” and/or “General Info” for this information). This fee can be made in the form of post dated cheques or one lump payment due on or before January 1, 2012. This deposit will be subtracted from your entry fee invoice that is sent out when routines have been registered for the scheduled competitions. The entry deposit becomes non-refundable by December 31, 2011. (*)

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” and/or “General Info” for this information). Cheque may be post dated for October 15th, 2011. This deposit will be subtracted from your exam/workshop fee invoice that is sent out in February. The exam deposit becomes non-refundable by October 31, 2011. (*)

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 Text:
As the legal parent or guardian, I release and hold harmless Dance Sensations By Desire’, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Dance Sensations By Desire’, its owners and operators or in route to or from any of said premises. I, the undersigned, on behalf of the parties registered, authorize Dance Sensations By Desire’, use of any photographs and/or videos as well as printing of names for advertising, promotional, and publicity purposes. (*)
Please indicate that you, the undersigned, on behalf of the parties registered, authorize Dance Sensations By Desire’, use of any photographs and/or videos as well as printing of names for advertising, promotional, and publicity purposes.
Enter your Full Name (*)
Please enter your full name.

Your Comments/Notes:
Comments
Invalid Input
Anti-Spam Security Code Anti-Spam Security Code
  Refresh
Please enter the Anti-Spam Security Code
Register the Student   

Dance Classes in Regina, Saskatchewan. Acrobatics, Ballet, Tap, Jazz, Hip Hop, Lyrical, Pointe. © 2012 Dance Sensations by Desiré.

web design topwater.ca web design by topwater.ca