By checking this box I give permission for my child to attend dance camp
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.
I would like to register for the following classes:
Student’s First Name
Student’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:
All fees are due at the first class.
Health Card #
Please explain any previous dance experience.
** Must have no spaces
4-6 yrs - no experience
7-11 yrs - no experience
10 and up - 10 & 11 yr olds must be able to do the following: Stand to Bridge,
Handstand to Bridge, and Cartwheel. 12 yrs and up - no experience required
1350 Cornwall St. Regina, SK 306-721-7837