Registeration is Open!

Session 1 – July 8th – 12th

5-6 years (entering SK and Grade 1 September 2019)
7-9 years (entering Grade 2-4 September 2019)
10-12 years (entering Grade 5-7 September 2019)

Session 2 – July 15th – 19th

5-6 years (entering SK and Grade 1 September 2019)
7-9 years (entering Grade 2-4 September 2019)
10-12 years (entering Grade 5-7 September 2019)

Session 3 – July 22nd – 26th

5-6 years (entering SK and Grade 1 September 2019)
7-9 years (entering Grade 2-4 September 2019)
10-12 years (entering Grade 5-7 September 2019) 

Session 4 – July 29th  – August 2nd

5-6 years (entering SK and Grade 1 September 2019)
7-9 years (entering Grade 2-4 September 2019)
10-12 years (entering Grade 5-7 September 2019)  

Session 5 August 19th – 23rd

5-6 years (entering SK and Grade 1 September 2019)
7-10 years (entering Grade 2-5 September 2019)

Session 6 August 27th – 31st

5-6 years (entering SK and Grade 1 September 2019)
7-10 years (entering Grade 2-5 September 2019)

PAYMENTS:

By phone: Visa or MasterCard by calling (519) 822-2697

In person: Visa and MasterCard, debit, or cheque at 225 Hanlon Creek Blvd.

Email Transfer: to briana@guelphdance.com

* are required

Family Information

First Name: *

Family Last Name: *

Primary Phone Number: *

Primary Email Address: *

Mailing Information

Street Address:

City:

Province:

Postal Code:

Student Information

Student 1

Name: *

Age: *

Date of Birth: *

Allergy/Health Info:

Session Request: *

Age Group: *

T-Shirt Size: *

Student 2

Name:

Age:

Date of Birth:

Allergy/Health Info:

Session Request: *

Age Group:

T-Shirt Size: *

Student 3

Name:

Age:

Date of Birth:

Allergy/Health Info:

Session Request: *

Age Group:

T-Shirt Size: *

Contact Information

Mother

Name: *

Work Phone Number:

Cell Phone:

Father

Name: *

Work Phone Number:

Cell Phone:

Emergency Contact

Name: *

Phone Number: *

Relation to Student: *

Doctor

Name: *

Phone Number: *

The undersigned agrees to save harmless, indemnify and release The Guelph Academy of Dance(the “School”), its proprietor, employees, volunteers, administrators and assigns (the “Releasees”) from and against liability and actions including but not limited to any act, error or omission on the part of the Releasees. The undersigned acknowledges the risks of the instructional program and voluntarily assumes all such risk. The undersigned further covenants and agrees not to join or assist in any manner with any other person in the making of any claim or demand against the Releasees and School arising out of or in relation to the matters here-in-before remised, released and/or discharged. The undersigned authorizes the School to take all reasonable steps to respond to a medical or other emergencies, including but not limited to the providing of immediate first aid and obtaining professional medical assistance.

I have read, understand and agreed to the foregoing terms and conditions.

 

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