Session 1: September 27th – November 30th 2017Session 2: January 24th – April 4th 2018
All fields are required
Birth Date (yyyy-mm-dd):
Province: AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Any known allergies?
Work Phone Number:
Payment Options: Email transfer to firstname.lastname@example.orgVisa/MasterCard by phone (519) 822-2697In Person 225 Hanlon Creek Blvd Unit 14
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 emergency, 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.
Phone: (519) 822-2697
225 Hanlon Creek Blvd.
First nameLast nameEmail