Classes: Type/Level/Day/Time/Start end date:  1______________________________  2 ____________________________

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How did you hear about us? ________________________________________________________________________
                                           

Registration secures a space in class. Tuition payable by cash or cheque to Karin Hobby Dance Academy
$25 of tuition fees are non refundable prior to the commencement of the term. The remainder of tuition for the term is non refundable  once the term has commenced. Cheques for the initial payment cannot be post-dated. There is a $25 fee for returned cheques. Transfers will only be permitted when space and level of training allows. Please read the handbook for full details.

Full session  fees:	$ ________
Add 13% HST	$ ________
Total	$ ________
Cheque Number	_________

Waiver Agreement.
I understand that there will be some costume fees for the end of year show due in January 2012. In addition, I have read the student/parent handbook and agree to the conditions outlined therein. I hereby consent to my child being photographed and or videotaped in school performances by photographers assigned by the school. These photographs may be used for KHDA promotional displays and school related functions. I respect that my own photographing of other KHDA students is not permitted without their own consent both in class and in performance. Video recording or other recording of KHDA performances are not permitted due to copyright laws. I acknowledge that dance is a physical activity and the potential risk for physical injury does exist. Our goal is to minimise this risk. Acknowledging this, I will not hold KHDA, its faculty, staff, volunteers or venues responsible for any injuries which do occur. I understand that failure to abide by the conditions of enrolment may result in discontinuation of studies at KHDA and forfeiture of the remainder of paid tuition. I understand that students are generally not accepted if studying or teaching at other dance schools within the city and non disclosure will constitute a breach of school policy. Any concerns I have will be brought forward to school staff.  Positive feedback is also welcome!

Parent/Guardian Signature________________________________________ Date __________________________________________

Welcome to Karin Hobby Dance Academy ©KHDAC2012 We look forward to working with you!
Mail address 1490 Richmond Street London Ontario N6G 2M3