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Limited Space! For students ages 7 and up currently in Primary, Grade 1 and Grade 2 RAD ballet or equivalent to with a minimum of 2 years previous formal dance training. Students will receive 15+ hours of training over the 5 days. Classes will run from 9:00am to 12:00pm daily July 5 to 9, 2021. Classes will include: Myofascial Release, Floor Barre, Progressions (Jumps and turns), Pre Pointe work Foot Care and Strengthening, Injury Prevention, Anatomy, RAD Vocabulary and Techniques, Character, Tap and so much more! Register now for early bird pricing of $275.00. April 15th price will increase to $300.00. Registration will not be accepted until e-transfer has been sent to hello@reginadancecity.ca
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kindergarten
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Grade Level:
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preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
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Last Name:
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Birth Date:
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Student Email:
School:
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Grade Level:
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preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Questions/Options:
Current Dance Studio
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Ballet Exams Completed and/ or Years of Training
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Provincial Health Card Number
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List any health issues / conditions that your child experiences
Operations or Serious Injuries (Dates / Explain)
Additional Information:
PARENT/GUARDIAN AUTHORIZATION
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I give permission for my child to participate in all “Beyond Ballet” dance intensive activities. I understand that there are potential risks associated with any program requiring physical activity, including this one. I hereby do declare my child to be physically sound, having medical approval to participate in the activities of the “Beyond Ballet” program. I understand and agree that Dance City Inc, the host of “Beyond Ballet” does not assume any responsibility for medical expenses and/or compensation for any injury that my child may suffer during or resulting from participation in this program or any other activities at the “Beyond Ballet” location. I agree that it is my responsibility to receive clearance from my child’s physician before permitting my child to participate in this or any physical activity. I further understand that neither Dance City Inc – “Beyond Ballet” nor any of its paid staff or volunteer workers can be held responsible in the event of an accident. I certify that my child is amenable to discipline and free from habits or attitudes, which would make him/her an undesirable participant. I have studied this information and understand the contents thereof.
I've read the above and agree.
EMERGENCY AUTHORIZATION
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I authorize any representative of Dance City Inc. to seek medical attention for my child when immediate medical care is warranted by the circumstances and I cannot be reached, or if under the circumstances there is no time to attempt to reach me because of the nature of the injury or illness. I further authorize the health care professional selected by Dance City Inc. to provide the necessary care and treatment for my child.
I've read the above and agree.
PHOTOGRAPH/VIDEO AUTHORIZATION
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Dance City - “Beyond Ballet” has my permission to use photographs/videos of my child in “Beyond Ballet” promotional material.
I've read the above and agree.
PAYMENT / CANCELLATION POLICY
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Registration is not valid unless full payment has been received by e-transfer to hello@reginadancecity.ca. All registrations are non refundable with no exceptions. In the event that you need to cancel you will receive a 50% credit which will be applied to your account for future use. Credit will not be issued if cancellation notice is received on or after June 20, 2021. Cancellations are only accepted in writing through email to hello@reginadancecity.ca.
I've read the above and agree.
RELEASE AND WAIVER
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In consideration of my child’s participation in the activities of “Beyond Ballet”, I do hereby agree to hold free from any and all liability Dance City Inc. – “Beyond Ballet” and its respective officers, employees and members and do hereby for myself, my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims for damages which I may have or which hereinafter accrue to me arising out of or connected with my child’s participation in any of the activities of the “Beyond Ballet” Dance Intensive.
I've read the above and agree.
COMMUNICABLE ILLNESS AND COVID-10 WAIVER
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I understand and acknowledge that participation in Dance City Inc., classes, programs, rehearsals or activities entails the risk of exposure to and infection/contraction of communicable illnesses, viruses and diseases, including, without limitation, SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) virus which can lead to the COVID-19 (collectively, a “Communicable Illness”). I voluntarily agree, therefore, to assume all risks and responsibility of contracting a Communicable Illness, which me or my child may contract during any of Dance City Inc. classes, programs, rehearsals, performances, or activities. I also exempt and release, Dance City Inc. and its owners, employees, contractors, assistants, volunteers, guest artists, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with any Communicable Illness.
I agree and give full consent to active symptom screenings for myself or my child which may include a temperature check. I understand and agree that I will not send my child to Dance City Inc. if they are sick even if symptoms resemble a mild cold. Symptoms to look for include, but are not limited to, fever, cough, shortness of breath, sore throat, runny nose, nasal congestion, headache, and a general feeling of being unwell.
I understand and have made my child aware that they are to inform a Dance City Inc. staff member immediately should any of the above-mentioned symptoms develop while at Dance City Inc. Should this occur I understand my child will be isolated until they are picked up by a parent or guardian. I understand it is my responsibility to ensure my child is picked up immediately when notified.
I understand and agree that I will adhere to any and all of Saskatchewan's Public Health Orders under The Pubic Health Act, 1994. Individuals who have a fever, cough, shortness of breath, sore throat, runny nose (that is not related to a pre-existing illness or health condition) and not permitted to enter the studio.
I have alerted Dance City Inc. of any and all medical conditions and allergies of my child. I understand it is especially important to alert Dance City Inc. of any health conditions my child has which may cause similar symptoms of SARS-CoV-2 and/or COVID-19. These health conditions and symptoms include, but are not limited to, a cough and/or shortness of breath due to asthma or exercise induced asthma, and/or a sore throat, runny nose and/or nasal congestion due to severe seasonal allergies.
I've read the above and agree.
Consumer Protection Act
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Consumer Protection Act
Your Rights under The Consumer Protection Act. You may cancel this contract at any time during the period that ends Seven (7) business days after the latter of the day you receive a written copy of the contract and the day all the services are available. You do not need to give Dance City Inc. a reason for canceling during this period. In addition, there are other grounds that allow you to cancel this contract. You may also have other rights, duties, and remedies at law. For more information, you may contact the Consumer Protection Branch, Saskatchewan Justice. To cancel this contract you must give notice of cancellation to Dance City Inc., at 3125D Woodhams Drive East, by personal service, by registered mail or by any other means set out in the contract.
I've read the above and agree.
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