Summer Registration 2017

Students Name: _____________________________ _________________________________________

First Last

Date of Birth: _____ /_____ /____ Age as of December 31st: _______ Gender: _______
(dd)(mm)(yyyy)_

Address: ________________________________________________________________ Apt # _____

City: ______________________________________ Postal Code: ______________ ______________

Home Phone #: _____________________________

Email (Parents) _______________________________________________________________

Email (Other) ________________________________________________________________

Parent/Guardian: ___________________________________ Work #: __________________________

Primary Contact (First & Last Name)
Cell #: ___________________________

Parent/Guardian: _________________________________ Work #: ___________________________

(First & Last)
Cell #: ___________________________

Dance Experience:_________________________________ New to Artistic Edge Dance Company? Yes No

How did you hear about AEDC?__________________________________________________________

_____________________________________________________________________________________
Medical Information: (Please describe any allergies and/or medical conditions we should be aware of)

I am permitting __________________________ to attend classes at Artistic Edge Dance Company Inc. I will allow
Artistic Edge Dance Company Inc. to use photos/images of myself/my child on their website and/or in promotional
material.

DISCLAIMER: I recognize that this agreement of release and waiver of liability is a legal contract and that, by reading it carefully, I have
complete knowledge of its contents. Students and parents understand and expressly assume all risks involved in connection with instruction,
rehearsal and training at Artistic Edge Dance Company Inc., including but not limited to the risk of bodily injury occurring as a result of contact
with other students, instructors, walls, equipment, floors and other objects located in or near the dance studios, or the students physical condition
or limitations. Students and families waive all claims arising out of dance instruction, rehearsal, training or performances at Artistic Edge Dance
Company Inc, whether caused by the negligence breach of contract or otherwise, and whether for bodily injury, property, damage or loss or
otherwise, which student may have against Artistic Edge Dance Company Inc., its successors and assigns, and its officers, directors, shareholders,
employees and agents and their heirs, executors and administrators.

Parent/Guardian Signature:_____________________________ Date: _______ _______

info@artisticedgedanceco.com www.artisticedgedanceco.com
20 Drummond St 416-253-5050
 Artistic Edge Dance Company Summer Programs!
Summer Program Week Fee Payment Date

Camp Dates Time

Princess & Super Hero Camp July 24-28 9am-12pm

Ages: 3-6 years
$210.00
(full day available) August 14-18 9am-12pm

Recreational Dance Camp Ages: July 24-28 9am-4pm

7+ years
$339.00 August 14-18 9am-4pm

Acrobatic Workshop
Ages: 7+ years July 17-20 9am-4pm
$226.00

Competitive Intensive
Jr. & Inter/Adv Levels August 21-23 9am-4pm
$375.00

Before Or After Care $10 per day Available for all Summer programs 8am-5pm