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Movie Nights give parents the chance to have a date night or simply enjoy some time to themselves. Leave the kids with us and we will show them a great night! Each event includes:
Pizza, popcorn, juice & water;
Screening of the featured film on a projector;
And a one-hour musical theatre-style dance workshop, featuring choreography to a song from the featured film.
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Event: |
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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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Waiver
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As additional consideration for the student's instruction, the undersigned parent(s), or guardian(s) of the student(s) hereby releases and waives any and all claims against Leslieville School of Dance & Music, Camp Monarch, and staff, including but not limited to personal and bodily injuries and loss of or damage to property of the student which may occur while participating in class and camp activities.
The undersigned represents that the student is in good health and does not have any history of a medical or physical condition that would place the student at risk because of their condition. The undersigned further acknowledges that Leslieville School of Dance & Music intends to properly warm up the students before engaging them in any physical activity and will take every precaution to ensure a safe working environment, however: the student's instruction involves physical exercise that could result in injury, so the undersigned should accept all risks arising therefrom.
I've read the above and agree.
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Photo Waiver
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I am aware that pictures and videos of my child may be taken during dance classes, camps, and other events and that they may be used for promotional purposes both online and in print. All pictures are considered the property of Leslieville School of Dance & Music / Camp Monarch and may not be sold or reused without consent.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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Country: *
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City:
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State/Prov: *
Postal Code:*
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Bank Name: |
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Bank Transit # (5-digits): |
Institution ID (3-digits):
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Your Account Name: |
(Your name on your bank statement)
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Your Account Type: |
Account Number:
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