Registration
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Dancers 10-12 Years are invited to join us for a Half Night Sleep Over from 2:30-9pm on Saturday July 4th at our Clock Tower Studio - 13/1 Caryota Court, Coconut Grove. Wear your P.J's & bring your pillows! Full workshop is only $80 inclusive of snacks, pizza, drinks & hours of Dance Fun! A $10 registration fee also applies to new students only.
Event:
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Fee per Family:
Room:
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Family Information
First Name:
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Last Name:
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Home Phone:
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Email:
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(Emails are kept confidential)
Address:
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City:
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State/Prov:
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Postal Code:
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Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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Student Email:
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Add New Student #2:
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Student Gender:
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Student Email:
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N.T Gov. Sports Voucher Sem. 1:
N.T Gov. Sports Voucher Sem. 2:
Add New Student #3:
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Student's First Name:
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Student Gender:
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(format=dd/mm/yyyy)
Student Email:
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N.T Gov. Sports Voucher Sem. 1:
N.T Gov. Sports Voucher Sem. 2:
Add New Student #4:
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Student's First Name:
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Last Name:
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Student Gender:
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Male
Birth Date:
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(format=dd/mm/yyyy)
Student Email:
*
N.T Gov. Sports Voucher Sem. 1:
N.T Gov. Sports Voucher Sem. 2:
Add New Student #5:
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Student's First Name:
*
Last Name:
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Student Gender:
Female
Male
Birth Date:
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(format=dd/mm/yyyy)
Student Email:
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N.T Gov. Sports Voucher Sem. 1:
N.T Gov. Sports Voucher Sem. 2:
Questions/Options:
We will be ordering Pizza's, yum! Does your child have any food allergies please?
Additional Information:
Policy
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I, the adult applicant or I, the parent or legal guardian of the applicant listed above, hereby give approval of the applicants School Holiday Workshop Programs and activities registered. I do waive, release, absolve, indemnify and agree to hold harmless the organisers, sponsors, supervisors, participants and persons involved in the operation of RIX KIX ARTS, for any claims arising out of injury or other loss to named applicant or any member of his/her family whether as a participant in the activities or as a spectator.
I've read the above and agree.
Permission
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I also give permission for RIX KIX ARTS to take photos or video footage of the student to use for the website and other promotional purposes. I understand that any filming, online uploading or duplicating choreography without the permission of Kristy Love is strictly forbidden. If any student exhibits behaviour that is dangerous to herself/himself or to other students, RIX KIX ARTS reserves the right to remove the student from the studio.
I've read the above and agree.
Conduct
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I understand that transport to and from the venue is my responsibility. RIX KIX ARTS is about fun and follows a treat others how you would like to be treated policy and we all contribute to creating a positive environment for all.
I've read the above and agree.
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