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.   


Postal Code

Rhythm and Movement  (2 ½ - 4 years )


I would like to register for the following classes:



Dancer’s First Name


Parent Name


Health Card #

Please explain any previous dance experience if applicable:

** Must have no spaces

Parent & Tot  (18 mos-3 years)

Hip Hop  (8-12 years)

Fall Session:  Wednesdays, 6:15 - 6:45 pm,   Oct. 7 - Dec. 2, 2020  *(No class Nov. 11)

Fall Session:  Wednesdays, 7:45 - 8:30 pm,   Oct. 7 - Dec. 2, 2020  *(No class Nov. 11)

Fall Session:  Tuesdays, 5:30 - 6:15 pm,   Oct. 6 - Nov . 24, 2020

A  non-refundable registration fee of $15.00 is due at the time of registration.

Payment information will be available once you click submit.

 Sessional Registration


          1350 Cornwall St. Regina, SK                                     306-721-7837