Registration

Already a customer? Click here to login.

Welcome to ADA Dance Co

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=dd/mm/yyyy)
Additional Info

Please select from our variety of classes below.

Enroll in Classes
Select Class *
Required Policies and Agreements
As the legal parent or guardian, I release and hold harmless ADA Dance Co, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of ADA Dance Co, its owners and operators or in route to or from any of said premises.

As the legal parent or guardian, I release and hold harmless ADA Dance Co, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of ADA Dance Co, its owners and operators or in route to or from any of said premises.

The undersigned gives permission to ADA Dance Co, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restictions, or condition and/or declare the paricipant to be in good physical and mental health. I request that our doctor/physician ________________ be called and that my child be transported to ______________________ hospital. Please include physicians' phone number _______________.

Tuition is due by the tenth of each month. If accounts are paid after the tenth of the month there is an additional amount due according to the length of the class, There is a $35.00 returned cheque charge for any cheques returned by the bank.

I Agree to All of the Above
Questions or Concerns