~Online Registration~ Lighthouse Dance/ Stagelights by Lighthouse Dance
Welcome!
Please take a few moments to fill in this registration form and we will get in touch with you within 1-2 working days. Thank you!
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Which class would you like to register for? *Refer to schedule on website: https://www.lighthousedancesg.com/  *
Please indicate class, day & time.
Student's Name *
Gender *
Date of Birth *
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Any pre-existing medical conditions?
Parent/Guardian's Details (Required for students age 16 and under)
Please fill in the details of the primary person we should contact. This will also be the first person we will contact in the case of an emergency.
Parent/Guardian's Name
Relationship to child
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Phone number *
For students age 16 & under, please fill in parent/guardian's phone number. For adult students (age 17 & up), please fill in your phone number.
Email *
Address *
Secondary Contact
You may also indicate a secondary/emergency contact.
Name
Phone number
Email
Our Philosophy
At Lighthouse Dance, we strive to provide a holistic dance education which would contribute positively to every student's physical, mental and emotional growth & character development. This involves not only providing the opportunity to train in the physical aspect of dance, but also imparting knowledge of other sides of dance such as its rich and varied history. As such, we believe in creating opportunities for our students to experience the myriad facets of Dance.

A lighthouse is a symbol of guidance, and we hope to nurture a passion and love for dance in our students that will guide their way through the difficulties they may face. We hope to kindle a light in their hearts, and for them to keep this light wherever they may go.
Terms & Conditions
1) Payment of term fees are to be made prior to, or on the first day of the term.

2) All payments made are non-refundable.

3) Any classes missed after payment has been made cannot be refunded. However, a student may choose to attend another ongoing class of similar level to make up for the missed class.

4) Private classes: Any class cancelled less than 24 hours prior to scheduled class time will be charged in full. This is to be fair to our dance instructors. Thank you for your understanding!

5) Parents or students are to inform the instructor before the start of class of any injury or medical condition that may be aggravated by physical activity.

6) There are risks associated with all forms of dance and exercise, which may include but are not limited to muscle and skeletal injuries such as sprains, strains and broken bones. The studio shall not be held liable for any injuries arising from participation in our dance classes, performances or any other event.

7) Arrangements may be made for photographs and video footage to be taken during classes, performances or events. These materials may be used for future marketing and publicity purposes.

8) The studio reserves the right to assess if a prospective student is fit for dance training and, based on the assessment, also reserves the right to refuse enrolment to any prospective student deemed unfit for dance training.
Acknowledgement *
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How did you find out about us? *
Any other remarks/comments?
Thank you very much & Keep the light!
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