Canadian Dance Unit Online Registration

Registration

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Welcome to Canadian Dance Unit! Please use the form below to register your child(ren) based on the recommended classes that was given by the studio director. For all NEW inquiries please be sure to contact the studio at office@canadiandanceunit.com or 905-857-5444 for recommendations on classes before registering.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Province*

Postal*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

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

Contact #2

Contact #2 First Name*

Last Name*

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release Y/N*

Media Y/N*

Please click on the "SELECT CLASS" button below, then choose the recommended class(es).

YOU MUST PAY FOR THE CLASS(ES) IN ORDER TO SECURE YOUR CHILD'S SPOT!

PLEASE NOTE: FEES SHOWN BELOW WILL NOT INCLUDE THE DISCOUNTS THAT ARE BEING OFFERED. THE STUDIO WILL DETERMINE THE CORRECT FEES WITH DISCOUNTS (IF ANY) AND POST IT ON YOUR PARENT PORTAL AFTER THIS REGISTRATION IS COMPLETE. IF YOU HAVE ANY QUESTIONS REGARDING THIS, PLEASE DO NOT HESITATE TO CONTACT THE STUDIO FOR YOUR TOTAL FEES WITH DISCOUNT.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release Y/N*

Media Y/N*

Please click on the "SELECT CLASS" button below, then choose the recommended class(es).

YOU MUST PAY FOR THE CLASS(ES) IN ORDER TO SECURE YOUR CHILD'S SPOT!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release Y/N*

Media Y/N*

Please click on the "SELECT CLASS" button below, then choose the recommended class(es).

YOU MUST PAY FOR THE CLASS(ES) IN ORDER TO SECURE YOUR CHILD'S SPOT!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release Y/N*

Media Y/N*

Please click on the "SELECT CLASS" button below, then choose the recommended class(es).

YOU MUST PAY FOR THE CLASS(ES) IN ORDER TO SECURE YOUR CHILD'S SPOT!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release Y/N*

Media Y/N*

Please click on the "SELECT CLASS" button below, then choose the recommended class(es).

YOU MUST PAY FOR THE CLASS(ES) IN ORDER TO SECURE YOUR CHILD'S SPOT!

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

Country *

City

Province*

Postal*

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

(Show-Hide Details)