St. Paul Desna Ukrainian Dance Registration

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St. Paul Desna Ukrainian Dance Registration - 2023/2024

Thank you for you interest in Ukrainian Dance for the 2023/2024 Dance Season! Please complete the form below to register.

To confirm your registration, please e-transfer the registration fee to stpauldesnadance@gmail.com. Registration is not complete until registration fee is received.

(Dancers will be accepted if they are four years old by December 31, 2023)

The remainder of the fee's may be sent in as scheduled on the Fee Sheet. (https://www.stpaulukrainiandanceclub.ca/registration)

The performance bond cheques may be brought to the AGM or first practice.

Thank you!

Name of Dancer *

Dancer Birthday *

YYYY

Dancer Age *

Dancer Gender *

Female

Male

Mailing Address *

Health Concerns/Allergies *

Mother/Female Guardian Name *

Mother/Female Guardian Mailing Address (if different from above) *

Mother/Female Guardian Email *

Mother/Female Guardian Home/Cell Number (Please indicate with H or C) *

Father/Male Guardian Name *

Father/Male Guardian Mailing Address (if different from above) *

Father/Male Guardian Email *

Father/Male Guardian Home/Cell Number (Please indicate with H or C) *

Emergency Contact Information (Name, Relationship, Phone Number) *

Costume Size (Please indicate the whether for youth or Adult and the Size. Example - Youth size 8-10) *

Parent Acknowledgement, Release, and Agreement to Indemnify (Please write your name below, by doing so, you are signing your agreement) *

Club Policy Agreement(Please write your name below, by doing so, you are signing your agreement) *

Privacy Consent (Please write your name below, by doing so, you are signing your agreement) *

Email permission (Please indicate "Yes" or "No", confirm the email address, and write your name below, by doing so, you are signing your agreement) *

Refund Policy (Please indicate "Yes" to acknowledge you have read are aware of the refund policy) *

Yes

Required

Festival Information (No Answer required, simply FYI)

Registration Fee (Please send in via e-tranfer to stpauldesnadance@gmail.com) *

Registration Fee - $50

Required

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