Registration
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Dancers 6-9 Years are invited to join us for a Full Day Dance Party from 8:30-3pm on Wednesday July 1st at our Clock Tower Studio - 13/1 Caryota Court, Coconut Grove. Workshop is only $80 per dancer inclusive of snacks, pizza, drinks & hours of Dance Fun! A $10 registration fee also applies to new students only.
Event:
Start Date/Time:
End Date/Time:
Fee per Family:
Room:
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Family Information
First Name:
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Last Name:
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Home Phone:
Cell #:
Work #:
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:
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:
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
Student Email:
*
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:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
Student Email:
*
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:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(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:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
Student Email:
*
N.T Gov. Sports Voucher Sem. 1:
N.T Gov. Sports Voucher Sem. 2:
Questions/Options:
We will be ordering Pizza for Lunch, yum! Does your child have any food allergies please?
Additional Information:
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.
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.
Enter your Full Name:
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