260 Centrum Blvd, Orleans, ON K1E 3P4, Contact: (613) 834-4329
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Summer Dance Registration Form 2025

Home / Summer Dance Registration Form 2025

Summer Dance Registration Form

Summer Dance Registration Form 2025

Student Information

Summer Dance options

If the program you have selected above is currently wait-listed, please continue to fill in the registration form and you will be notified by email when an opening is available.

Parent/Guardian Information

I agree, to receive the school newsletter via email.
How did you hear about our school?

Emergency Contact Information

Required Policies and Agreements

Medical release

In case of physical injury or medical emergency, I hereby authorize DanceR Studio to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that DanceR Studio will attempt to notify the person(s) I have named on the registration form as my emergency contact(s) of my condition and how to reach me.

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Client waiver, Photo Release, and Payment Agreement

Waiver of Liability (In-Person)
1693981 Ontario Inc. doing business as DanceR Studio (“Dancer Studio”) values each dancer, both as an individual and as a dancer. We will make every effort to preserve the safety and security of the dancers. It is our aim to build self-esteem through achievement in dance.

I, the parent or guardian named below, will not hold DanceR Studio or its employees or volunteer staff responsible for any accident or injury which may occur during the time which the dancer, named above, is present at DanceR Studio dance school or taking part in any of its events. I understand that every effort to ensure the safety of my child will be taken while at the school or event. I will not undertake any legal proceedings against DanceR Studio if such accident or injury should occur.

Photo Release
DanceR Studio creates memories by photograph and video recordings in class, at rehearsals and during performances.

I, the parent or guardian named below, consent to the inclusion of the image of my dancer, named above, in these photos and video recordings. I understand that images captured by the dance school are and remain the property of DanceR Studio, and may be used in its publicity and advertising, without payment therefor. Students, or parents of students who are minors, who do not wish to comply with this policy must notify DanceR Studio prior to participation in class.

Payment Agreement
I, the parent or guardian named below, being responsible for the dancer named above, agree to make tuition fee payments to DanceR Studio according to the schedule agreed upon, or as amended from time to time.

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BY REGISTERING AND PAYING FOR ANY CLASS, EVENT, PRIVATE LESSON, OR OTHER ACTIVITY THROUGH DANCER STUDIO, YOU ARE AGREEING TO ALL OF THE ABOVE CONDITIONS AND WAIVERS. PLEASE DO NOT HAVE YOUR CHILD/YOURSELF PARTICIPATE IN ANY CLASS OR EVENT UNLESS YOU ACCEPT AND AGREE TO ALL OF THE TERMS IN THIS AGREEMENT.

Client signature and Consent

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Once your form has been submitted, you will receive a confirmation email within 24 hours.

Contacts

  • 260 Centrum Blvd.
  • Orleans, ON, K1E 3P4
  • mikiwhytedance@hotmail.com
  • (613) 834-4329

Open Hours

  • Monday 5:00-8:30pm
  • Tuesday 4:45-9:00pm
  • Wednesday 5:30-9:15pm
  • Thursday 4:45-9:30pm
  • Friday 4:45-7:15pm
  • Saturday 9:00-1:30pm
  • Sunday 9:00-1:00pm

About

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