Rhythm and Movement
2 ½ - 4 yrs
I would like to register for the following classes:
Student’s First Name
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
Student’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 material.
Are there any health concerns, allergies or previous injuries that Kids Can Dance
staff should be aware of? If so, please list:
Monday Acro Sessional
4-12 yrs (Divided by ages)
Saturday Acro Sessional
1350 Cornwall St. Regina, SK 306-721-7837