Dance Registration Register here for Musical Theatre Dance 2021! Dance Registration Form Participant Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Participant Email* Enter Email Confirm Email Participant Cell Phone (optional)Parent(s) First and Last Name(s)*Parent's Email* Enter Email Confirm Email Parent's Cell Phone*Home Phone (if different from parent's cell #)School you currently attend*Any medical concerns? Extra support needed? Please explain in detail.*How did you hear about Jesters Dance?*Registration Fees* $70 per student $50 sibling rate Please contact me about a reduced fee Registration fee is due at the first class. We accept cash, debit, or credit card (small service fee added)Keeping Everyone Healthy!* Covid protocols: I agree to adhere to the health protocols of Jesters, including wearing a mask, sanitizing my hands regularly, and practicing physical distancing as much as possible. General health & wellness: I will bring my own water bottle, wear comfortable clothing/shoes to dance in, and will stay home if I'm sick. I (or my parent) will contact Jesters should I be unable to attend due to illness. Jesters has a zero-tolerance policy for illness of any kind on site. Any final comments?Jesters Theatre Photo and Video Waiver - I hereby grant Youth Unlimited permission to use my or my child's photograph and video in publications, displays, presentations and other related uses in any format (print and electronic):* Yes, I agree to the Photo and Video Waiver Today's Date* Date Format: MM slash DD slash YYYY
