Registration

Dancer's Name:

Address:

City/Town:

Province:

Postal Code:

Main Phone Number:

Mother's Name:

Cell Phone (main)

Cell Phone (second)

HAMPTON STUDIO - NON COMPETITIVE, PRE-COMPETITIVE AND COMPETITIVE DANCE CLASSES

CLASS:

Father's Name:

Allergies:

Medicare Number:

Dancer's Age as of Dec 31, 2019

Date of Birth (MM-DD-YYYY):

Main Email:

Secondary Email:

Payment: (most parents choose automatic withdrawal on the 20th of the month or opt to pay in full by sending an e-transfer)

Banking Information for Automatic Withdrawal (Please complete all four boxes)

Bank Name:

ELECTRONIC WAIVER & MEDIA RELEASE
By clicking I AGREE you adhere to the following:

By clicking below, you accept the following. I, on behalf of my child, have volunteered to participate in a program of dance instruction under the direction of Step In Time Dance and its instructors which will include, but may not be limited to, the dance studio and/or any equipment available in the dance studio. I recognize that there are risks involved in the participation of any dance program. I acknowledge and agree that I assume any and all risks associated with any of the activities or exercises in which my child participates in and hereby release Step In Time, is owners and their instructors from any and all liability in this regard. I also understand that photos taken during dance classes and special events may be shared using social media and website use.

I understand that I am responsible for all payments for my child's class. I understand that if I decide to withdraw, I must email info@stepintimedance.ca to have my payments stopped ar least 2 weeks prior to a scheduled payment. The final cancellation deadline is February 28, 2020. After that date no refunds or stop payments will be possible. NSF charge: $25 the first time and $50 the second.

Have Questions About Registration? - Email us at info@stepintimedance.ca

Addition Information/Comment:

Dance Classes Start after the first day of school

Transit Number (5 digits)

Bank Number (3 digits)

Account Number:

DANCERS WHO ARE UNSURE OF CLASS WILL BE PLACED BY INSTRUCTORS.

EXISTING COMPETITIVE DANCERS AND PRECOMPETITIVE DANCERS should select COMPETITIVE PLACEMENT when registering. RECREATIONAL DANCERS who would like to AUDITION for the Competitive Program should register in their recreaional class and then indicate in the "ADDITIONAL INFORMATION/COMMENT" box below that they are interested in auditioning.