Creative Dance - ONLINE Registration

Plan Details:
Sku: S21-CHO-CD-02
Price: 64.00
Dates: 27 Mar - 05 Jun
Timeslot: 9:30 am-10:00 pm
Weekday: Sat
Location: ONLINE
Age Group: 3-4

Please enter information on the form below to process registration for Creative Dance - ONLINE.

Referral Information

How did you hear about us? *

Referral Name

Online Access

Username*

Email *

Password *

Retype Password *

Student Information

First Name *

Last Name *

Date of Birth *

School Grade (Sep2020)

Street *

City *

Postal Code *

Additional Information (Medical Concerns, etc.)

Primary Contact Information

Primary Email *

Contact 1

Contact First Name *

Contact Last Name *

Relationship *

Phone *

Contact 2

Contact 2 First Name

Contact 2 Last Name

Contact 2 Relationship

Contact 2 Phone

Emergency Contact Information

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Policies and Agreements

Terms and Conditions of Registration

Cancellations – courses are subject to cancellation due to insufficient registration – if this occurs a full refund will be issued.
Withdrawals/refunds – full refund before the class starts. Refunds in first three weeks of classes will be prorated for classes attended less a $10 administration fee. No refunds after the third week of classes.
Returned cheques – a service fee of $15 will be applied to all cheques returned because of non sufficient funds.
Les Petits Ballets does not send confirmations of registration. You will only be contacted if the class is not proceeding as scheduled.

Code of Conduct

You can download and view the Les Petits Ballets Code of Conduct here.

Waiver Form

Please download and view the Child Program Waiver Form here before confirming agreement to our policies.

Confirm Policy Agreement *

I've clicked, downloaded and read the policies and waiver form above and agree.

Payment Information

Price

Payment Method

Paypal (includes non-member card payments Visa, MC etc.)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*