MAGIC & MYSTERY!
A full-day Interactive Arts Programme
with Tanis Waller
for boys and girls ages 4 to 8 years
Monday, July 3rd through Thursday, August 31st, 2017
9:00 a.m. to 4:00 p.m. daily
Studio Performance each Friday
Dance, Music, Crafts, Story Telling
Before/After supervision is provided between 8:15 – 9:00 a.m.
and 4:00 – 5:30 p.m. at a cost of $20 per day.
No aftercare on Fridays.
LIMITED REGISTRATION!!
PLEASE PRINT
LAST NAME: ________________________________________________FIRST NAME: _______________________________________________
ADDRESS: ______________________________________________________________________________________________________________
CITY: ____________________________________________ PROVINCE: _________________________POSTAL CODE: ___________________
DATE OF BIRTH (m/d/y): ________________________________HOME TELEPHONE #: _____________________________________________
PREVIOUS TRAINING/SCHOOL:_______________________________ NUMBER OF YEARS: ________ PRESENT LEVEL: _______________
E-MAIL: ______________________________________________________
PARENT / GUARDIAN: ____________________________________________ RELATIONSHIP: _______________________________________
HOME TELEPHONE #: _________________________________________ CELL TELEPHONE #: _______________________________________
PLACE OF BUSINESS: ______________________________ BUSINESS TELEPHONE #: _________________________EXT. #: _____________
PARENT / GUARDIAN:_____________________________________________ RELATIONSHIP: _______________________________________
HOME TELEPHONE #: _________________________________________ CELL TELEPHONE #: _______________________________________
PLACE OF BUSINESS: ________________________________ BUSINESS TELEPHONE #: _________________________EXT. #: ____________
EMERGENCY CONTACT: _____________________________ RELATIONSHIP: _______________________ TELEPHONE #: _______________
MEDICAL INFORMATION TO BE KEPT ON FILE: ____________________________________________________________________________
ANY FOOD OR SKIN ALLERGIES __________________________________________________________________________________________
PARENT VOLUNTEER AVAILABLE? ______________________________________________________________________
FOR MORE INFORMATION
please call us at 613-238-7838
Fax number 613-238-7839
The School of Dance, 200 Crichton Street, Ottawa, Ontario K1M 1W2
email: [email protected] • website: www.theschoolofdance.ca
The School of Dance is committed to protecting personal information by following responsible information handling practices, in keeping with
privacy laws. We collect and use personal data in order to better meet your service needs, to ensure the safety of our participants, for statistical
purposes, to inform you about The School of Dance programme or service in which you are registered, to complete payment transactions and to
satisfy government and regulatory obligations. You may also hear from us periodically about other The School of Dance programmes, services
and opportunities that may interest and benefit you. We do not rent, sell or trade our mailing lists.
20170131
Programme A
Programme B
Magic Toy Box
Magic Fairies
July 3-7
Programme C
July 10-14
Circus Time!
July 17-21
Five Days
$200
Five Days
$200
Five Days
$200
Materials Fee
$20
Materials Fee
$20
Materials Fee
$20
Total Course Fee
$220
Total Course Fee
Programme D
$220
Total Course Fee
Programme E
The Enchanted Sea
July 24-28
Birds of a Feather
$220
Programme F
July 31
-Aug 4
Magic Castle
Aug 8-11
Five Days
$200
Five Days
$200
Four Days
$160
Materials Fee
$20
Materials Fee
$20
Materials Fee
$15
Total Course Fee
$220
Total Course Fee
Programme G
Let’s go to the Zoo!
Five Days
$200
Five Days
Materials Fee
$20
Materials Fee
Programme
A
B
C
D
E
F
G
H
I
Time
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
8:15 – 9 a.m.
4 – 5:30 p.m.
Total Course Fee
Programme H
Aug
14-18
Total Course Fee
$220
Magic Garden
$220
Total Course Fee
$175
Programme I
The Jungle
Aug 28-31
$200
Four Days
$160
$20
Materials Fee
$15
Aug 21-25
$220
Before/After Care $20 per day/$10 on Fridays
Monday
Tuesday
Wednesday
Total Course Fee
Thursday
$175
Friday
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Fees:
Programme A
$ ___________
Programme B
$ ___________
Conditions of Enrolment
Programme C
$ ___________
•
•
•
•
•
•
Programme D
$ ___________
Programme E
$ ___________
Programme F
$ ___________
Programme G
$ ___________
Programme H
$ ___________
Programme I
$ __________
Materials Fee
$ ___________
Before/After Care
$ ___________
Registration Fee
$ ___________
Total Fee
$ ___________
•
•
•
There is a $20 registration fee payable on the initial registration in each school year.
There are no refunds except in the case of cancellation due to insufficient registration.
All registration forms must be signed and dated in order to be eligible to take part in classes.
Fees are due in full at time of registration.
Family discount of 10% must be mentioned when registering.
Second / third class discount of 20% is available on some classes. Discounts cannot be accumulated. Discounts are applied
on the lesser of the amounts. Please check with The School.
Cheques returned from the bank for any reason are subject to a $50 administration charge.
The School reserves the right to ask disruptive individuals to leave the premises and/or not to serve a customer.
The School of Dance is not responsible for students before and after class.
I have read and understand the conditions of enrolment:
SIGNATURE:
(Parents signature required for students under the age of 18)
DATE:
Registration by fax/mail
VISA or MC # _____________________________________ Expiry date __________ Name on VISA/MC_______________________________
20170131