Registration -- Dance Innovations

Online Registration
Below is the registration form for 2010-2011 classes starting in September. Please provide all information requested. Once we have received your form, we will contact you to confirm the classes, and to arrange for payment.

Student's name
Age
Date of birth
Address
City
Province & postal code
Phone number
Email address
School
Grade
Please indicate in which area you would be willing to volunteer
Class representative Production Helper
Mother's name
Mother's place of work
Mother's home phone
Mother's work phone
Father's name
Father's place of work
Father's home phone
Father's work phone
Alternate contact in case of emergency
Name
Phone
Provide information about any illness or limitation of which the instructor should be aware

*Please complete the following only if you are new to Dance Innovations* How did you hear about Dance Innovations? List previous training including subject, number of years, method and most recent grade List any exams taken including results
We are registering for the following classes: Click the box beside each class so a checkmark appears, and fill in the registration amount for each class. Please submit a separate form for each child being registered.


Class	Fee
Creative Dance (Tuesday class), $32	$
Creative Dance (Saturday class), $32	$
Ballet, Pre-Primary (Wednesday class), $32	$
Ballet, Pre-Primary (Saturday class), $32	$
Ballet, Primary 1, $32	$
Ballet, Primary 2, $32	$
Ballet, Grade 1, $37	$
Ballet, Grade 2 (2 classes/week), $74	$
Ballet, Grade 3 (2 classes/week), $74	$
Ballet, Grade 5 (2 classes/week), $74	$
Ballet, Grade 7 (2 classes/week), $84	$
Ballet, Intermediate Foundation (2 classes/week), $79	$
Ballet, Senior (2 classes/week), $84	$
Ballet, Pointe, $37	$
Ballet, Jr. Pointe, $18.50	$
Ballet, Jr. Recreational, $32	$
Ballet, Sr. Recreational, $37	$
Ballet, Contemporary 1, $32	$
Ballet, Contemporary 2, $32	$
Ballet, Contemporary 3, $37	$
Boys Only, $37	$
Combo (Wednesday class), $37	$
Combo (Saturday class), $37	$
Combo, Pre-Junior, $37	$
Tap, Junior 1, $32	$
Tap, Junior 2, $32	$
Tap, Junior 3, $32	$
Tap, Pre-Intermediate 1, $32	$


Tap, Pre-Intermediate 1B, $32	$
Tap, Pre-Intermediate 1-2, $32	$
Tap, Pre-Intermediate 2B, $32	$
Tap, Pre-Intermediate 3, $32	$
Tap, Intermediate, $32	$
Tap, Senior, $37	$
Jazz, Junior 1, $32	$
Jazz, Junior 2, $37	$
Jazz, Junior 3, $37	$
Jazz, Pre-Intermediate 1, $37	$
Jazz, Pre-Intermediate 1B, $37	$
Jazz, Pre-Intermediate 1-2, $37	$
Jazz, Pre-Intermediate 2B, $37	$
Jazz, Pre-Intermediate 3, $37	$
Jazz, Intermediate, $37	$
Jazz, Senior, $42	$
Jazz, Teen, $32	$
Jazz, Recreational, $32	$
Jazz, Junior Jazz Supplement, $37	$
Jazz, Senior Jazz Supplement, $37	$
Hip Hop, 8-10 years, $32	$
Hip Hop, 8-10 years, Competitive, $32	$
Hip Hop, 10-12 years, $32	$
Hip Hop, 10-12 years, Competitive, $32	$
Hip Hop, Teen, $37	$
Hip Hop, Teen Competitive, $37	$
Gymnastics, 1 hour class, $37	$
Gymnastics, 45 minute class, $32	$
Teachers Training (Sep 2010 to March 2011), $37	$


Total of all classes	$
Family discount of 5% (see note below)	$
Subtotal	$
GST (5%)	$
Total	$
Family discount of 5% is applied once the first child with the highest total fees has paid full tuition. All other children in the same family then receive the discount.
Preferred payment method
Monthly Three payments (September, December, March) Full payment with registration
A costume fee of $30 per class is required for all classes except Jazz Supplement, Rec Hip Hop, Boys Only and Gymnastics. Costume fee payments are due with registration but can be postdated to any date prior to October 1.
Number of classes: x $30 = $
A registration fee of $25 per student is payable on registration day.
May we use group or individual photos of your child for promotional purposes? Yes No
Parent's email address: Please print a copy of this page for your records before sending. You will receive an email confirming that this registration has been received, along with instructions for making tuition, costume and registration fee payments.