CKDance Company Highland Registration

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Please read each field carefully and fill out all required elements. Particulars can be found at www.ckdance.ca. If you have any urgent questions, please email ckdancefam@gmail.com for assistance.

After your form has been received you will receive further information and an initial invoice to secure your spot.

IF YOU HAVE MULTIPLE DANCERS YOU WILL NEED TO FILL OUT SEPARATE FORMS FOR EACH DANCER.

Parent/Guardian Full Name *

Dancer Full Name (please fill out one form for each dancer you would like to register) *

Dancer Age *

Dancer Date of Birth *

YYYY

Address *

Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Any allergies or health conditions? *

Any previous or existing physical injuries that would impact the dancer's ability to dance? *

Class Selection (please note that ages are a rough guideline only). *

Payment Selection *

Monthly pre-authorized credit card payments.

Emailed invoice for full semester to be paid by credit or debit.

ADULTS ONLY: Drop-in payment.

Do you give CKDance Company permission to take and/or use photographs and videos of your dancer for the purposes of CKDance Company promotional content on social media? *

Yes

After you submit your registration you will be contacted with additional forms to sign, an initial invoice, and confirmation of your saved spot!

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