1350 Cornwall St. Regina, SK 306-721-7837
I would like to register for the following:
Student’s First Name
Student’s Last Name
Health Card #
** Must have no spaces
Colours of the Rainbow - Preschool Day Camp ($100.00)
August 17-21, 2020
9:00 am - 12:00 pm
Are there any health concerns, allergies or previous injuries that Kids Can Dance
staff should be aware of? If so, please list:
Please explain any previous dance experience.
KCD CONSENT & RELEASE
I wish to enroll and/or enroll my child in Summer Camp at Kids Can Dance Studio.
I am fully aware that participation is at my and/or my child’s own risk.
I release the staff of any liability in the event of an accident or illness during
my and /or my child’s time in class or studio events. I agree to allow Kids Can Dance
Studio to take appropriate action should emergency medical treatment be needed.
I give consent to receive electronic mail.
I allow photos/videos to be taken of myself and/or my child during class time or
studio events and understand that these may be used on our website, social media,
brochures, advertising or any other future promotional material.
Preschool Acro Camp ($60.00)
August 13 & 14, 2020
Ages: 3-6 (Must be potty trained)
9:00 am - 10:30 am
Beginner/ Junior Acro Camp ($75.00)
Ages: 6 & up
12:30 pm - 2:30 pm
Intermediate/ Senior Acro Camp ($75.00)
* Must be able to stand to bridge
3:00 pm - 5:00 pm
COVID-19 VIRUS PANDEMIC
CONSENT, RELEASE & INDEMNITY
I wish to take lessons and/or enroll my child with Kids Can Dance Studio during
the COVID-19 pandemic. I do so voluntarily and of my own free will without any coercion
by any person or company and being fully aware that we are in the midst of a Covid-19
Virus Pandemic and the virus appears to be highly contagious.
I fully understand that by my and/or my child entering the Kids Can Dance Studio
premises I may be exposing myself and/or my child to the potential transmission of
the Covid-19 Virus to myself, my family or my friends and I knowingly, freely and
voluntarily accept the inherent risks of this activity, including possible contamination,
illness or death.
I agree to indemnify, save harmless, release, discharge, acquit and forgive Kids
Can Dance Studio and their heirs, executors and assigns from any and all liability,
claims, actions, suits, demands, costs or expenses of any kind, as related to any
health risks or adverse health related consequences, arising as a result of myself
and/or my child attending the Kids Can Dance Studio premises and/or taking lessons
with Kids Can Dance Studio during the COVID-19 Pandemic.
I acknowledge and agree
* Day Camps - A non-refundable deposit of $50.00 is due at the time of registration.
* Acro Camps - Payment is due in full after you receive a confirmation.
Payment information will be available once you click submit.