Sean Boutilier Academy of Dance Online Registration

Registration

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Welcome to Sean Boutilier Academy of Dance! We are thrilled you're here. Did you know that you can dance for as little as $58.00/month (dependent on class duration). We've made enrolling easy and convenient!

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Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

I UNDERSTAND AND AGREE ON BEHALF OF MY CHILD/WARD OR MYSELF AS A STUDENT; HIS/HER HIERS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN, MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:

1. AN UNQUALIFIED ASSUMPTION OF ALL RISKS associated with participation in this program by my child/ward or myself as a student even if arising from negligence or gross negligence, including any compounding or aggravation of injuries caused by negligent first aid associated therewith or participating therein; and
2. A FULL AND FINAL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I have or may in the future have against Sean Boutilier Academy of Dance (Seadance or Seacat Inc), and its directors officers, employees, guides and representatives from any and all liability for any loss, damage, injury or expense that my child/ward may suffer, or that his/her next of kin may suffer as a result of his/her use of presence at Studio facilities due to any cause of whatsoever, INCLUDING NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF OCCUPIERS LIABILITY ACT OR ANY OTHER RELEVANT STATUTES, on the part of the Releases
3. AN AGREEMENT NOT TO SUE THE RELEASES for any losses, injury, costs or damages of any form or type, howsoever caused or arising and whether directly or indirectly from the participation of my child/ward or myself as a student in the program; and
4. AN AGREEMENT TO INDEMNIFY, and to SAVE and HOLD HARMLESS the RELEASES and each of them from any litigation expense, legal fees, liability damage award or cost of any form or type whatsoever they may incur due to any claim made against them or any one of them whether the claim is based on the negligence or the gross negligence of the Releases or otherwise.

AN ACKNOWLEDGEMENT that I HAVE READ THIS DOCUMENT THOROUGHLY by checking the box below

I've read the above and agree.

Release of Liability

In consideration for allowing my child/ward or myself as a student to participate in all related events and activities of Sean Boutilier Academy of Dance (Secorp or Seadance Inc) I hereby warrant and agree.

1. I am the parent/guardian having full legal responsibility for decisions regarding my child/ward/student and
2. I am familiar with and accept, on behalf of myself and my child/ward or myself as a student that this is risk of injury in participation of dance
3. I have satisfied myself and believe that my child/ward or myself as a student is physically emotionally and mentally able to participate in this program.
4. I understand and will instruct my child/ward or myself as a student that all applicable rules for participation must always be followed and the sole responsibility for personal safety remains with my child/ward myself as a student; and
5. I authorize Sean Boutilier Academy of Dance to consent to emergency medical treatment in accordance with best interests of my child/ward or myself as a student, should I not be present at the relevant time to grant consent myself.
6. If my child/ward is 12 and under I agree to remain in the studio during my child/wards dance class

AN ACKNOWLEDGEMENT that I HAVE READ THIS DOCUMENT THOROUGHLY by checking the box below

I've read the above and agree.

Payment Policy

By registering online, I agree that the credit card or bank account information provided will be automatically charged for registration of the classes, programs, camps & any other dance related fees . Tuition fees are billed monthly on the first of each month. Acceptable methods of payment: Automatic Payment - Visa, MasterCard, void cheque. Summer classes/programs/camps: will be charged upon registration with no annual membership fee. Recreational Full year programs: annual membership fee ($50 + HST) and first months tuition fee's will be charged upon registration, the remainder months will be charged the 1st day of each month Oct - June. Full payment of session is due upon registration. Season runs September through June. A $40.00 costume deposit will be charged to your account on Nov 1st, 2019 for each class your student is enrolled.

1. NO refunds or CREDITS will be given for missed classes. Make-up classes can be taken with pre-authorization from the teacher or the Office Staff and must be taken within 4 weeks. Students must notify the office if unable to attend class.
2. Pre-authorized payments or manual cheques declined/returned by the bank will be subject to a thirty (30) dollar handling charge.
3. Pre-authorized credit card payments declined/returned by the bank will be subject to a five (5) dollar service charge.
4. The registration fee is non refundable and no costume deposits will be refunded after March 1st.
5. No makeup classes will be given in May or June.
6. Any accounts that are outstanding for 1 month, the student's dance class(es) will be suspended until account payments are up to date
7 . If there are less than 8 students enrolled into a class, the class could be subject to a cancellation

AN ACKNOWLEDGEMENT that I HAVE READ THIS DOCUMENT THOROUGHLY by checking the box below

I've read the above and agree.

Withdrawal Policy

Students who wish to discontinue lessons prior to the end of the school year at Sean Boutilier Academy of Dance must notify the Office Staff one (1) week prior to the last day of the month, in order to cancel payments. No partial monthly refund will be given and no refunds for March, April, May and June. No refunds will be applied for Parent and Tot classes after 4 attended classes.

AN ACKNOWLEDGEMENT that I HAVE READ THIS DOCUMENT THOROUGHLY by checking the box below

I've read the above and agree.

Acknowledgement

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN SUBSTANTIAL LEGAL RIGHTS WHICH MY CHILD/WARD HEIRS NEXT OF KIN EXECUTORS, ADMINISTRATORS AND ASSIGNS AND I MAY HAVE AGAINST THE RELEASES

BY CHECKING THE BOX BELOW, I ACCEPT VOLUNTARILY AND WITHOUT INDUCEMENT

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Account Information

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Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Transit # (5-digits)

Institution ID (3-digits)

Account Number