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)
Fall Session: Saturday, 11:45 am - 12:15 pm, Oct. 17 - Dec. 5, 2020
Preschool Acro (3-4 years)
Strength & Conditioning (7 years and up)
Hip Hop (8-12 years)
Fall Session: Wednesdays, 6:15 - 6:45 pm, Oct. 7 - Dec. 2, 2020 *(No class Nov.
Fall Session: Wednesdays, 7:45 - 8:30 pm, Oct. 7 - Dec. 2, 2020 *(No class Nov.
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.
1350 Cornwall St. Regina, SK 306-721-7837