Address

City

Postal Code

Jazz

3-4 yrs

Tap

Ballet

Hip Hop

Lyrical

Acrodance

Contemporary

Preschool Combination

Preschool Plus

Beginner Combination

Dance Foundations

Pre-Pointe/Pointe

Tumbling

4-5 yrs

5-6 yrs

12 yrs and up

13 yrs and up

5 yrs and up

9 yrs and up

5 yrs and up

7 yrs and up

7 yrs and up

7 yrs and up

Yrs. Exp.

Yrs. Exp.

I would like to register for the following classes:

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Yrs. Exp.

Birthdate

Month

Day

Parent Name

Gender

Health Card #

Adapt Tap Exam Class

Musical Theatre

7 yrs and up

Yrs. Exp.

** Must have no spaces

** Must have no spaces

Adapt Jazz Exam Class

*** MUST BE IN PERFORMANCE ACRODANCE TO BE IN THIS CLASS

*** MUST BE IN PERFORMANCE CLASSES TO BE IN THIS CLASS

*** MANDATORY FOR ALL PERFORMANCE CLASSES Except Hip Hop

*** MUST BE IN PERFORMANCE JAZZ TO BE IN THIS CLASS

*** MUST BE IN PERFORMANCE TAP TO BE IN THIS CLASS

Registration received after June 15th will be subject to a $10 registration fee

Parent Cell

        By checking this box I give permission for my child to attend classes at Kids Can Dance Studio.  I release the staff of any liability in the event of an accident or illness during time in their class or studio event.  I release them to take appropriate action should they need emergency medical treatment. I give consent to receive electronic mail and for photos/videos to be taken during class or studio events and recognize that these may be used for future promotional material.


           

2018-2019 Seasonal Registration


    

          1350 Cornwall St. Regina, SK                                     306-721-7837                                    kidscandance@sasktel.net

Mail: kidscandance@sasktel.net