AEDC 2021 Summer Camp Registration Form

Student Information

Student Name (1st Child) Student Name (1st Child) First Last
Date Of Birth (1st Child) Date Of Birth (1st Child) / MM / DD YYYY
Gender

Gender Male Female
Medical Information: (Please describe any allergies and/or medical conditions we should be aware of)
Student Name (2nd Child) Student Name (2nd Child) First Last
Date Of Birth (2nd Child) Date Of Birth (2nd Child) / MM / DD YYYY
Gender

Gender Male Female
Medical Information: (Please describe any allergies and/or medical conditions we should be aware of)
Personal Information
Parent Name-Primary Contact Parent Name-Primary Contact First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone # Cell Phone # - ### - ### ####
Home Phone # Home Phone # - ### - ### ####
Email
Parent/Guardian's Name (2nd Contact) Parent/Guardian's Name (2nd Contact) First Last
Parent/Guardian's Phone # (2nd Contact) Parent/Guardian's Phone # (2nd Contact) - ### - ### ####
Additional Email Address
New To Artistic Edge Dance Company?

New To Artistic Edge Dance Company? Yes No
Dance Experience (Years, Style)
How Did You Hear About AEDC?
Camp Selection
All Camps are $220 + HST per week
10% off each additional camp
Please select the camps your child wishes to be a part of!
Week 1 (1st Child)
Week 2 (1st Child)
Week 3 (1st Child)
2nd Child's Camp Selection
Week 1 (2nd Child)
Week 2 (2nd Child)
Week 3 (2nd Child)
Payment

Please choose your method of payment along with payment schedule options.
Method Of Payment

Method Of Payment Visa/Mastercard eTransfer to info@artisticedgedanceco.com

Payment MUST be made to guarantee a spot in the camp
Name On Card Name On Card First Last
Card Number
Expiry (example 0421)
CVV Code ( 3 digit # on the back of card)
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Please note: You will not receive a confirmation email immediately following your submission of registration but we have received it!

LIABILITY WAVER FORM: I recognize that this agreement of release and waiver of liability is a legal contract and that, by reading it carefully, I have complete knowledge of its contents. Students and parents understand and expressly assume all risks involved in connection with instruction, rehearsal and training at Artistic Edge Dance Company Inc., including but not limited to the risk of bodily injury occurring as a result of contact with other students, instructors, walls, equipment, floors and other objects located in or near the dance studios, or the student’s physical condition or limitations. Students and families waive all claims arising out of dance instruction, rehearsal, training or performances at Artistic Edge Dance Company Inc., whether caused by the negligence breach of contract or otherwise, and whether for bodily injury, property, damage or loss or otherwise, which student may have against Artistic Edge Dance Company Inc., its successors and assigns, and its officers, directors, shareholders, employees and agents and their heirs, executors and administrators.

THE 2019 NOVEL CORONAVIRUS (COVID-19) ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

1.My child is currently not experiencing COVID19 symptoms nor have they had COVID-19 symptoms in the last 14 days.
2. Our family, included my child(ren), have not travelled outside of Canada or in an area under a travel health advisory in the last 14 days.
3. Our family including my child(ren) have not provided care or had close contact with any person with COVID-19 or with any person reasonably suspected of having COVID-19 or with any person who travelled outside of Canada in the last 14 days or with any person who travelled in an area under a travel health advisory in the last 14 days.
4. I represent and warrant to the Releasees that I, my family and my children have not been advised by the Government of Canada or Ontario Public Health or our doctor or the Ontario Ministry of Health website to self-isolate due to possible exposure to COVID-19.
5. I am fully aware of the risks and hazards with respect to COVID-19 inherent in my child's attendance at the premises and participation in the activities of the AEDC.
6. I freely and voluntarily agree to assume the risk with respect to COVID-19, including the risk of death, bodily injury or property damage, regardless of severity, that I (or my child/ward) may sustain as a result of my participation in the activities of Artistic Edge Dance Company or attendance at the Premises, howsoever arising, including, but not limited to, the active or passive negligence of the Releasees.

Please note: You will not receive a confirmation email immediately following your submission of registration but we have received it!

LIABILITY WAVER FORM: I recognize that this agreement of release and waiver of liability is a legal contract and that, by reading it carefully, I have complete knowledge of its contents. Students and parents understand and expressly assume all risks involved in connection with instruction, rehearsal and training at Artistic Edge Dance Company Inc., including but not limited to the risk of bodily injury occurring as a result of contact with other students, instructors, walls, equipment, floors and other objects located in or near the dance studios, or the student’s physical condition or limitations. Students and families waive all claims arising out of dance instruction, rehearsal, training or performances at Artistic Edge Dance Company Inc., whether caused by the negligence breach of contract or otherwise, and whether for bodily injury, property, damage or loss or otherwise, which student may have against Artistic Edge Dance Company Inc., its successors and assigns, and its officers, directors, shareholders, employees and agents and their heirs, executors and administrators.

THE 2019 NOVEL CORONAVIRUS (COVID-19) ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

1.My child is currently not experiencing COVID19 symptoms nor have they had COVID-19 symptoms in the last 14 days.
2. Our family, included my child(ren), have not travelled outside of Canada or in an area under a travel health advisory in the last 14 days.
3. Our family including my child(ren) have not provided care or had close contact with any person with COVID-19 or with any person reasonably suspected of having COVID-19 or with any person who travelled outside of Canada in the last 14 days or with any person who travelled in an area under a travel health advisory in the last 14 days.
4. I represent and warrant to the Releasees that I, my family and my children have not been advised by the Government of Canada or Ontario Public Health or our doctor or the Ontario Ministry of Health website to self-isolate due to possible exposure to COVID-19.
5. I am fully aware of the risks and hazards with respect to COVID-19 inherent in my child's attendance at the premises and participation in the activities of the AEDC.
6. I freely and voluntarily agree to assume the risk with respect to COVID-19, including the risk of death, bodily injury or property damage, regardless of severity, that I (or my child/ward) may sustain as a result of my participation in the activities of Artistic Edge Dance Company or attendance at the Premises, howsoever arising, including, but not limited to, the active or passive negligence of the Releasees. I Understand And Agree

AEDC 2021 Summer Camp Registration Form

AEDC 2021 Summer Camp Registration Form

Personal Information

Camp Selection All Camps are $220 + HST per week 10% off each additional camp

Please select the camps your child wishes to be a part of!

2nd Child's Camp Selection

Payment

Camp Selection
All Camps are $220 + HST per week
10% off each additional camp