Registration
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Note: If auditioning for Young Company II - Google Form needs to be filled out. Link on our homepage.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
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City:
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State/Prov:
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Questions/Options:
Is there anything you would like us to know about your child?
Are you interested in learning more about classes at First City School of Dance?
Yes
No
Additional Information:
Photo Consent
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Photo Release First City School of Dance Inc. reserves the right to use photographs and videos taken during classes, workshops, performances, or other affiliated events for the purposes of instruction, advertising and promoting First City School of Dance Inc. Students, or parents of students who are minors, who do not wish to comply with this policy
I've read the above and agree.
Medical Emergencies
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Medical Attention In case of physical injury or medical emergency, I hereby authorize First City School of Dance Inc. to make necessary arrangements to transport myself or my child to a medical treatment facility as necessary. All such transportation and medical treatment will be at my sole cost and expense. In extreme emergency, or if my child is under 18 years of age, I understand that First City School of Dance Inc. will attempt to notify the person(s) I have named on my registration form as my emergency contact(s).
I've read the above and agree.
Liability Waiver
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FCSD Liability Waiver By enrolling yourself, or others in your legal care, in in-person classes at First City School of Dance Inc. and/or online classes delivered by First City School of Dance Inc. via the First City School of Dance Inc. website OR First City School of Dance Inc. Parent Portal OR in person at First City School of Dance Inc., you agree to and are bound by the following Liability Waiver: 1. I understand it is the responsibility of the student and the student's legal guardian to ensure the student is in good health and physically capable of participating in the instruction and practice of the classes offered by First City School of Dance Inc., (hereinafter referred to as FCSD Inc.) both in-person and online, including but not limited to consulting with a physician prior to participation in dance classes. It is understood and agreed that the above mentioned student is in good health and is physically capable of participating in the instruction and practice of the classes provided by FCSD Inc. I hereby agree to notify FCSD Inc. immediately should the student's health condition change such that the student is not in good health and physically capable of participating and I acknowledge that in such case the student should cease, and may be required to cease by FCSD Inc., participation in dance classes until such time as the student's health condition has improved. 2. It is further understood and agreed that the student and legal guardian hereby indemnify the FCSD Inc. from any and all liability and expense which it may incur or suffer as a result of: i) the failure of any student listed herein to follow the Policies and Code of Conduct of FCSD Inc.; ii) the failure of any student listed heron to follow any instructions provided from time to time by an instructor of FCSD Inc.; or (iii) any breach of this Agreement. 3. I acknowledge and agree that dance classes require strenuous physical exertion. It is understood and agreed that even though all classes and practice sessions conducted by FCSD Inc. are delivered by qualified instructors and all reasonable care is taken to prevent injuries and minimize accidents, that due to the range of motion and technical challenges of the classes provided by FCSD Inc., there is a risk that injuries may occur including, but not limited to, strains, break or more serious injuries including death. In accordance with the aforementioned paragraph, I, as the student, or the parent or guardian of the above student, do hereby waive, release, and forever discharge any and all rights and claims whatsoever for any damage which I may have against FCSD Inc. including its instructors and employees. FCSD INC. IS NOT RESPONSIBLE FOR ANY ITEM OR PERSONAL PROPERTY WHICH IS LOST, DAMAGED, OR DESTROYED WHILE ON THE PREMISES.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
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