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.
Rhythm and Movement
2 ½ - 4 yrs
I would like to register for the following classes:
Student’s First Name
Student’s Last Name
Are there any health concerns, allergies or previous injuries that Kids Can Dance
staff should be aware of? If so, please list:
A $10 registration fee is charged once per dance season for all Sessional classes.
All fees are due at the first class.
Health Card #
Please explain any previous dance experience.
** Must have no spaces
Adult Hip Hop
*** Must be a Seasonal Kids Can Dance Student to be able to take part in this class!
Tap and Ballet Combo Sessional Class
Popping & Locking Sessional Class
* MUST be 4 years of age or have completed one session of rhythm and movement and
have approval from the Staff.
18 yrs and up
1350 Cornwall St. Regina, SK 306-721-7837