Youth Summer Intensive Registration

All fields are mandatory

First Name:

Last Name:

Birthday:

Email Address:

Phone Number:

Street Address:

City:

Province/State:

Postal Code/Zip:

Select One:

Full Workshop (9am-3:30pm): $499 + HST

Training Only (9am-1:45pm): $375 + HST

Creation Only with Hanna Kiel (1:45pm-3:30pm): $200 + HST

Drop In Classes: $25 + HST

Select Class(es):

Ryan Lee - Floor Work Foundations

Ryan Lee - Partnering Foundations

Amanda Davis - Contemporary Ballet

Troy Feldman - Contemporary Breaking

Kosi Eze - House Dance

Kylie Thompson - Contemporary

Lauren Cook - Human/Animal

MonstaPop - Organic Mechancis

Raoul Wilkie - House Dance

Please indicate which day(s) you plan to attend class

Have you attended any Alias Workshops, Classes, Events, Shows?

Yes

No

If yes, specify which ones:

Parental Agreement of Release and Waiver of Liability for Young Students (17 and under) - ‘Agreement’

I, the parent/guardian, hereby acknowledge that the classes that my child(ren) undertake with Alias Dance Project Inc. require physical exertion, which may be strenuous, and that by participating in these classes they are exposed to certain risks. Having acknowledged these inherent risks, I agree to hold harmless Alias Dance Project Inc., and their employees from any and all liability for personal injury to myself or my child(ren), howsoever caused, arising out of or in any way related to their participation in or attendance of programs with Alias Dance Project Inc. I freely accept and fully assume all such risks resulting from my participation in any classes with Alias Dance Project Inc. I forever release Alias Dance Project Inc. from any and all liability for any claims, demands, actions and wishes that may arise out of my participation in classes.

I, the parent/guardian, hereby acknowledge that Alias Dance Project Inc. hereby agrees to make every reasonable effort to protect all personal information provided to it regarding its students, including but not limited to their names, addresses, telephone numbers and any financial information.

hereby agree to hold harmless Alias Dance Project Inc. from any and all liability related to any breach of their security regarding my personal information.

Video and Photo Release:

I, the parent/ guardian, do hereby acknowledge and give permission for the use of all video and photos taken of my child(ren) during the course of their participation with Alias Dance Project Inc., in any and all promotional material for Alias Dance Project Inc. I hereby further consent that Alias Dance Project Inc. may indicate my child(ren)’s participation by use of their first name and last initial.

I have read the above Agreement and understand its contents. I voluntarily agree to the terms and conditions noted above, and the Policies and Procedures set out by Alias Dance Project Inc. I agree that this Agreement is binding upon my heirs, executors, administrators, representatives and myself.