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Participant Information
First Name
Last Name
Grade
Address
State
City
Postal Code
Email
Phone
Alt Phone
If student under 18 please fill out the below parent/guardian information
First Name
Last Name
Cell Phone
Work Phone
Email
Location Preference
Brampton
Etobicoke
Mississauga
Scarborough
Markham
$ 200 **/term
**Fees $200 ($50 / month * 4 months)
$5 per month per person discount for a dual registration (mother/ daughter or two sisters).
First Term $200
(Sep., Oct., Nov., Dec. -2019)
Second Term $200
(Jan., Feb., March, April -2020)
Last Term $200
(May, June, July, August – 2020)
$ 100 *
*This
one-time fee
includes minimum 2 workshops to maximum 3 that will take place anytime between
January to July
(timings will be confirmed in late December).
Each student will get an opportunity to participate in minimum two dances and maximum 6 dances depending on their learning capabilities.
Payment can be made either by cash, cheque (payable to Kyaansh Productions Ltd.), or e-transfer
(info@kyaanshproductions.com).
Kyaansh Legal Disclaimer and Liability Waiver
I understand that I have committed to participating in the workshop(s) for Kyaansh Productions. I will arrive in a timely fashion and be punctual to all report times.
I understand that I am to remain with the group for workshops and show time. I understand parents will NOT be allowed to enter the workshop area.
I hereby confirm that I am medically, mentally and physically fit to participate in the workshop organized by Kyaansh Productions Ltd. I understand, acknowledge and accept that participation in the workshop is a physical activity and may require a lot energy.
All communication must go through Jenita or Aditi.
AIn case of accident, injury, loss of life or harm of any nature to me, I expressly agree and acknowledge that Kyaansh Productions Ltd. shall not be responsible and/or liable for the loss, injury, loss of life, harm or damage caused.
I agree that Kyaansh Productions Ltd reserves the right to deny my participation in any event(s) for reasons of inability/behavior endangering the safety/welfare of myself and/or others.
I agree to the registration information and refund policies.
I release Kyaansh Production, all teachers, staff, employees and assistants from any and all liability actions negligence or lawsuits arising from any activity while in the studio, while using studio facilities or in studio vicinity and /or in relation to any travels conducted by Kyaansh Production, including dance competitions attended by Kyaansh Production.
I hereby allow Kyaansh Production to shoot and use those videos or photos of myself and/or my children for promotional use at any time.
I would like to receive communication via e-mail, text or WhatsApp in regards to future workshops and events organized and lead by Kyaansh Productions Ltd.
I have read and understood the above mentioned information and have agreed to abide to it.