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
Rhythm and Movement (2 ½ - 4 years )
I would like to register for the following classes:
Dancer’s First Name
Health Card #
Please explain any previous dance experience if applicable:
** Must have no spaces
Dancer’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:
Parent & Tot (18 mos-3 years)
Winter Session: Saturday, 10:15 - 10:45 am, Jan 9 - Feb 27, 2021
Preschool Acro (3-4 years)
Hip Hop 1 (8-11 years) or Hip Hop 2 (11 & over )
Winter Session: Wednesdays, 5:30 - 6:00 pm, Jan 13 - Mar 17, 2021 (No class
Feb 17 & Mar 10)
A non-refundable registration fee of $15.00 is due at the time of registration.
Payment information will be available once you click submit.
Tap/Ballet Combo (5-7 years)
Winter Session: Saturday, 11:00 - 11:45 am, Jan 9 - Feb 27, 2021
Acro 1 (5 & 6 years) or Acro 2 (7 & over - cannot stand to bridge) or Acro
3 (7 & over - can stand to bridge)
1350 Cornwall St. Regina, SK 306-721-7837