Contact Information
Phone: 604-524-3516
Fax: 604-539-7715
Email: dancinstars@shaw.ca

Address: 7757 Edmonds Street Burnaby, BC


September 2010
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Dancin'Stars Awards
Nominated - Finalist for both: Business Person of the Year 2004 (Sonica Gujral) and Business of the Year (small business) 2004 (Dancin'Stars) by the Burnaby Board of Trade.


Register

dancinstars@shaw.ca

Register Now for all 2010/2011 programs!

Classes Commence on Monday, September 13th/2010!

Please fill out the form below if registering online:

Personal Information

Parent/Guardian Full Name
Student: Full Name
Student: Birth Date

2nd Student (Optional)  
Student: Full Name
Student: Birth Date

Class Information

Class Type

 Dance Music

Class Level  Recreational Competitive Exam
Select the classes in which you want to participate

 Acrobatics Ballet Ballroom Latin American Break Dance Bhangra Creative Dance Indian (Bharanatyam) House Filmi Hip Hop Jazz Lyrical Irish Old Skool Musical Theatre Modern Street Jazz Cheer & Dance Tap Polynesian/Hula

Please specify the day and time of classes you selected:

Contact Information

Email:
Full Address:
Home Phone: Cell Phone:

Emergency Contact Information

Doctor: Phone:
Friend / Relative: Phone:
Important Information:

Method of Payment

 Cheque Visa Mastercard
  Please make all cheques payable to Dancin’ Stars.
  Cash and debit available only full year registration (at studio)
  Debit and Credit Payments can be collected upon visit to studio or over the phone.


I agree that Dancin’ Stars & High Note School of the performing Arts shall not be responsible for any and all injuries and causes of action which I may sustain while training, practicing, performing, or during any event, competition, or activity. The release extends to Dancin’ Stars and High Notes, and its owners, members, managers, officers, agents, instructors, coaches, assistants, and employees. The release also extends to every claim, demand, or liability of any kind based on any injury or damage described below.

I understand that dance activities as conducted and taught at the studio have inherent risks of injury. These risks include muscle pain and pulls, broken bones, ankle injuries and other personal injury. I recognize that I am exposing myself to such risk when undertaking dance activities. I also understand that these risks cannot be fully eliminated without jeopardizing the essential qualities of the activity. I assume and accept all risks of injury and damages resulting from such dance activities. My participation in this activity is purely voluntary, and I elect to participate, in spite of the risks. Furthermore, I understand that there are also that may arise from acting and voice activities. I assume and accept all risks of injury and damages resulting from such activities.

I also agree that the studio, including its owners, members, managers, officers, agents, instructors, coaches, assistants, and employees, is not responsible for any property loss or damager suffered by me or any guest or parent of mine that results upon entry into my presence in the studio or its surrounding property.

I further understand that I have been advised of the need for me to be covered by adequate insurance to cover any injury or damage that may be suffered while participating, and I have obtained such accident and/or health insurance or have agreed to bear the costs of any such injury or damage myself.

I further understand the Dancin’ Star & High Note reserves the right to refuse instruction or training to anyone who cannot comply with the rules set forth by the studio. I also give permission for the public display of any studio picture that I may be in.

By signing and dating this release, I have thoroughly read, understand and agree with the terms of this release and have had the opportunity to consider and discuss it with such individuals and advisors as I deem appropriate. I further confirm that by signing this release, I acknowledge that if I am hurt during participation in this activity, I have waived my right to maintain a lawsuit against the studio on the basis of any claim, which is release herby.

I hereby consent to the use of the images or likeness of myself/ son/ daughter by DANCIN’STARS and surrender and forever release and discharge any right, title or interest I, my heirs, executors, successors, and all those claiming under or through me have or may have with respect to video and images taken in the course of classes, performances and in the general environs and activities of Dancin’ Stars.

I understand and agree that such video and photographs of my son’s/ daughter’s performance or appearance may be used in perpetuity for purposes pertaining to activities of Dancin’ Stars, including, but not limited to, illustration, promotion, advertising or publication.




BY SUBMITTING THIS FORM, I UNDERSTAND AND AGREE THAT ONCE PAYMENT HAS BEEN RECEIVED THERE ARE NO REFUNDS UNDER ANY CIRCUMSTANCES. I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE LIABILITY MESSAGE. Once registration has been completed and payment information has been confirmed, I understand that I am committed for the entire season.
I Accept



Dancin’Stars is not responsible for any injuries, lost or stolen items.