TRIP THE LIGHT DANCE: CONTEMPORARY SUMMER DANCE INTENSIVE

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Event Timing: July 29th-August 2nd 2019
Event Address: DJD Dance Cen111 12th Ave SE
Contact us at info@tripthelightdance.com or 403-869-6971

Dancers will be placed in levels based on their ability & age. We will hold a placement class on the first morning and dancers will know which level they will be in for the duration of the week by lunchtime on Monday. Dancers are placed at the faculty's discretion in order to give them the best learning experience and so they are challenged.

Please fill out the form below. Payment can be sent by ETransfer to Natalka@tripthelightdance.com or cash/cheque in the mail to:

Trip the Light Dance Company
324 Hawkcliff Way NW
Calgary, Alberta
T3G 2W7

If you would like to pay by credit card, there is an extra charge. Please contact natalka@tripthelightdance.com to inquire about CC payment.

Email *

Dancer Name (First, Last) *

Age *

Birthdate *

YYYY

Gender *

Male

Female

Other/Not Specified

Any Allergies/Medical Concerns we should know about? *

Address *

Parent #1 Contact Info (Name, Phone Number, Email) *

Parent #2 Contact Info (Name, Phone Number, Email)

Emergency Contact (Other than Parent)

Please tell us your dance history/training *

How Did you Hear about us? *

Registration Details *

Early Bird (Prior to June 15th) $485 + GST

Full Price $500 + GST

Required

Payment Method *

Etransfer to Natalka@tripthelightdance.com

Cheque in Mail (address above)

Cheque in Person to Natalka

Credit Card (Note there is an additional fee to process CC payments)

Waiver & Photo/Video Release: I give Trip the Light Dance & Performance Company and its faculty, the right and permission to use my child’s photograph(s) or likeness in photos & video for promotional purposes. I understand that the photograph(s)/video may be used in publications, print ads, electronic media (Internet), social media or other forms of promotion. I release Trip the Light Dance, the photographers/faculty, their offices, employees, agents, and designees from any liability. I agree that Trip the Light Dance Company/ Natalka Lewis will not be held responsible for any injury related to dance that may occur during the intensive. *

Yes, I agree

Required

Parent Signature/Name Typed *

Send me a copy of my responses.

Submit

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