Rhythm and Movement (2 ½ - 4 years )
I would like to register for the following classes:
Dancer’s First Name
A $15 Registration fee is charged once per dance season for all Sessional classes.
Registration fees are due at the time of registration. Registration fees are non-
Once you click submit, information regarding payment will be available.
Health Card #
Please explain any previous dance experience if applicable:
** Must have no spaces
Dancer’s Last Name
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
Are there any health concerns, allergies or previous injuries that Kids Can Dance
staff should be aware of? If so, please list:
Parent & Tot (18 mos-3 years)
Preschool Acro (3 - 4 years )
1350 Cornwall St. Regina, SK 306-721-7837