Summer Registration Form

THE ART OF DANCE STUDIO

SUMMER REGISTRATION

Student Name(s):_________________________________________________________________

Home#: _________

________________________________________________________________________________

Work#: __________

Age(s):________ _________

Birthdate(s): ___________ ____________

Address:___________________________________________________________________________________________________________

Street

City

Postal Code

Parent Name(s):____________________________________________________________________________________________________

Please list any concerns of which the school should be aware (confidential): ___________________________________________

___________________________________________________________________________________________________________

REGISTERING FOR:

Name: ___________________________________

Month: ____________

Program:

____________________

Name: ___________________________________

Month: ____________

Program:

____________________

Name: ___________________________________

Month: ____________

Program:

____________________

METHOD OF PAYMENT:

Tuition (includes GST):

_____ x $_______ = $ ____________

Please make cheques payable to "The Art of Dance Studio".

EXCLUSION OF LIABILITY:

THE ART OF DANCE STUDIO, THE OWNER, EMPLOYEES, OR CONTRACTORS SHALL NOT BE LIABLE FOR ANY DAMAGES OR INJURIES TO PERSONS, HOWEVER CAUSED, WHICH MIGHT BE SUSTAINED BY STUDENTS, THEIR FAMILIES, GUESTS OR OTHERS IN OUR FACILITY, OR IN ACTIVITIES WHICH MAY OCCUR DIRECTLY FROM OR INCIDENTAL TO ALL ACTIVITIES OF THIS STUDIO. THE UNDERSIGNED PARENT OR GUARDIAN AGREES TO HOLD HARMLESS AND INDEMNIFY THE ART OF DANCE STUDIO, THE OWNER, EMPLOYEES OR CONTRACTORS ,WITH RESPECT TO ANY CLAIMS OF LIABILITY, PAST, PRESENT OR FUTURE, FOR ANY DAMAGE OR INJURY, OR LOSS OF LIFE TO PERSONS, HOWEVER CAUSED.

I HAVE READ THE CONDITIONS OF THIS AGREEMENT AND UNDERSTAND AND AGREE TO THE CONDITIONS SET FORTH HEREIN.

Signature _________________________________________________

	Student Name(s):_________________________________________________________________					Home#: _________
	________________________________________________________________________________					Work#: __________
		Age(s):________ _________		Birthdate(s): ___________ ____________

	Address:___________________________________________________________________________________________________________
		Street			City	Postal Code

	Parent Name(s):____________________________________________________________________________________________________

	Please list any concerns of which the school should be aware (confidential): ___________________________________________ ___________________________________________________________________________________________________________
	REGISTERING FOR:
Name: ___________________________________			Month: ____________		Program:	____________________
Name: ___________________________________			Month: ____________		Program:	____________________
Name: ___________________________________			Month: ____________		Program:	____________________


	METHOD OF PAYMENT:
		Tuition (includes GST):		_____ x $_______ = $ ____________
	Please make cheques payable to "The Art of Dance Studio".

	EXCLUSION OF LIABILITY: THE ART OF DANCE STUDIO, THE OWNER, EMPLOYEES, OR CONTRACTORS SHALL NOT BE LIABLE FOR ANY DAMAGES OR INJURIES TO PERSONS, HOWEVER CAUSED, WHICH MIGHT BE SUSTAINED BY STUDENTS, THEIR FAMILIES, GUESTS OR OTHERS IN OUR FACILITY, OR IN ACTIVITIES WHICH MAY OCCUR DIRECTLY FROM OR INCIDENTAL TO ALL ACTIVITIES OF THIS STUDIO. THE UNDERSIGNED PARENT OR GUARDIAN AGREES TO HOLD HARMLESS AND INDEMNIFY THE ART OF DANCE STUDIO, THE OWNER, EMPLOYEES OR CONTRACTORS ,WITH RESPECT TO ANY CLAIMS OF LIABILITY, PAST, PRESENT OR FUTURE, FOR ANY DAMAGE OR INJURY, OR LOSS OF LIFE TO PERSONS, HOWEVER CAUSED. I HAVE READ THE CONDITIONS OF THIS AGREEMENT AND UNDERSTAND AND AGREE TO THE CONDITIONS SET FORTH HEREIN.
Signature _________________________________________________