Competitive Registration Child's Name*Birth Date* Date Format: MM slash DD slash YYYY Age*SchoolMedical InformationMedical ConditionsContact InformationParent(s) or legal guardian*Email* Phone*Emergency Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country ClassesCheck the boxes beside the classes you wish the above child to be registered for. Your total due will be calculated below.Would you like to sign up for our unlimited classes package?We offer large discount if you sign up for 6 or more classesYesNoIs this registration for the 2nd sibling registered in the same family?YesNoName of first registered childUnlimited Classes Package*6 classes ($225 / month)7 classes ($250 / month)8 or more classes ($275 / month)Unlimited Classes Package*6 classes ($165 / month)7 classes ($185 / month)8 or more classes ($200 / month)Please choose 6 classes from the list belowPlease choose 7 classes from the list belowPlease choose 8 or more classes from the list belowCompetitive ClassesJAZZ (Sept. to May)JAZZ (Sept. to May) Mini Jazz Company (ages 5-7) - Monday 4:00 - 4:45pm 45.00/mth Petite/Junior Jazz Company (ages 7-10) - Tuesday 4:00pm-4:45pm 45.00/mth Int./Sr. Jazz Company (ages 11-17) - Thursday 5:15 - 6:00pm 45.00/mth Int./Sr.Jumps & Turns - Thursday 6:45pm -7:30pm 45.00/mth Petite/Jr.Jumps & Turns - Tuesday 7:00pm -7:30pm 45.00/mth JAZZ (Sept. to May) Mini Jazz Company (ages 5-7) - Monday 4:00 - 4:45pm Petite/Junior Jazz Company (ages 7-10) - Tuesday 4:00pm-4:45pm Int./Sr. Jazz Company (ages 11-17) - Thursday 5:15 - 6:00pm Int./Sr.Jumps & Turns - Thursday 6:45pm -7:30pm Petite/Jr.Jumps & Turns - Tuesday 7:00pm -7:30pm HIP HOP - (Sept. to May)HIP HOP - (Sept. to May) Petite/Junior Hip Hop Company (ages 7-10) - Tuesday 6:15pm-7:00pm 45.00/mth Int./Sr. Hip Hop Company (ages 11-17) - Thursday 6:00pm-6:45pm 45.00/mth HIP HOP - (Sept. to May) Petite/Junior Hip Hop Company (ages 7-10) - Tuesday 6:15pm-7:00pm Int./Sr. Hip Hop Company (ages 11-17) - Thursday 6:00pm-6:45pm ACRODANCEACRODANCE - (Sept. to May) Petite/Junior Acro Company (ages 7-10) - Tuesday 4:45pm-5:30pm 45.00/mth Int./Sr. Acro Company (age 11 and up) - Thursday 4:30 - 5:15pm 45.00/mth ACRODANCE - (Sept. to May) Petite/Junior Acro Company (ages 7-10) - Tuesday 4:45pm-5:30pm Int./Sr. Acro Company (age 11 and up) - Thursday 4:30 - 5:15pm BALLET - (Sept. to May)BALLET - (Sept. to May) Petite/Junior Ballet Company (age 7-10) - Wednesday 4:00pm - 4:45pm 45.00/mth Int./Sr. Ballet Company (age 11 and up) - Wednesday 6:15pm - 7:00pm 45.00/mth BALLET - (Sept. to May) Petite/Junior Ballet Company (age 7-10) - Wednesday 4:00pm - 4:45pm Int./Sr. Ballet Company (age 11 and up) - Wednesday 6:15pm - 7:00pm POINTE - (Sept. to May)POINTE - (Sept. to May) Beginner Pointe (age 7-10) - Wednesday 7:00pm - 7:45pm 45.00/mth Int./Sr. Pointe (age 11 and up) - Wednesday 8:30pm - 9:15pm 45.00/mth POINTE - (Sept. to May) Beginner Pointe (age 7-10) - Wednesday 7:00pm - 7:45pm Int./Sr. Pointe (age 11 and up) - Wednesday 8:30pm - 9:15pm TAP - (Sept. to May)TAP - (Sept. to May) Petite/Junior Tap Company (ages 7-10) - Tuesday 5:30pm-6:15pm 45.00/mth Int./Sr. Tap Company (ages 11 and up) - Tuesday 7:00pm-7:45pm 45.00/mth TAP - (Sept. to May) Petite/Junior Tap Company (ages 7-10) - Tuesday 5:30pm-6:15pm Int./Sr. Tap Company (ages 11 and up) - Tuesday 7:00pm-7:45pm LYRICAL - (Sept. to May)LYRICAL - (Sept. to May) Petite/Jr. Lyrical (ages 7 - 10) - Wednesday 4:45pm-5:30pm 45.00/mth Int./Sr. Lyrical Company (ages 11 and up) - Tuesday 7:45pm-8:30pm 45.00/mth LYRICAL - (Sept. to May) Petite/Jr. Lyrical (ages 7 - 10) - Wednesday 4:45pm-5:30pm Int./Sr. Lyrical Company (ages 11 and up) - Tuesday 7:45pm-8:30pm CONTEMPORARY - (Sept. to May)CONTEMPORARY - (Sept. to May) Int./Sr. Contemporary Company (ages 11 and up) - Wednesday 7:45pm-8:30pm 45.00/mth CONTEMPORARY - (Sept. to May) Int./Sr. Contemporary Company (ages 11 and up) - Wednesday 7:45pm-8:30pm CECCHETTI BALLET EXAM - (Sept. to May)CECCHETTI BALLET EXAM - (Sept. to May) Petite/Junior Cecchetti Ballet Exam (age 7-10) - Saturday 11:00am-11:45am 45.00/mth Int./Sr. Cecchetti Ballet Exam (age 11 and up) - Wednesday 5:30pm-6:15pm 45.00/mth CECCHETTI BALLET EXAM - (Sept. to May) Petite/Junior Cecchetti Ballet Exam (age 7-10) - Saturday 11:00am-11:45am Int./Sr. Cecchetti Ballet Exam (age 11 and up) - Wednesday 5:30pm-6:15pm Recreational ClassesDANCE CONDITIONING - (Sept. to May)DANCE CONDITIONING - (Sept. to May) Mini/Petite/ Jr. Dance Conditioning (ages 6-10) - Wednesday 5:30pm-6:15pm 45.00/mth Int./Sr. Dance Conditioning (ages 10-18) - Wednesday 4:00pm-4:45pm 45.00/mth DANCE CONDITIONING - (Sept. to May) Mini/Petite/ Jr. Dance Conditioning (ages 6-10) - Wednesday 5:30pm-6:15pm Int./Sr. Dance Conditioning (ages 10-18) - Wednesday 4:00pm-4:45pm Tumbling and Tricks - (Sept. to May)Tumbling and Tricks - (Sept. to May) Mini/Petite/ Jr. Tumbling & Tricks - Wednesday 6:15 to 7:00pm 45.00/mth Int./Sr. Tumble & Tricks - Wednesday 4:45 to 5:30pm 45.00/mth Tumbling and Tricks - (Sept. to May) Mini/Petite/ Jr. Tumbling & Tricks - Wednesday 6:15 to 7:00pm Int./Sr. Tumble & Tricks - Wednesday 4:45 to 5:30pm HIP HOP - (Sept. to May)HIP HOP - (Sept. to May) Junior Hip Hop - Level 1 (ages 7-10) - Tuesday 5:30pm-6:05pm 45.00/mth Junior Hip Hop - Level 2 (ages 7-10) - Monday 5:30pm-6:05pm 45.00/mth Int./Teen Hip Hop (ages 11-17) - Monday 7:00 - 7:35pm 45.00/mth HIP HOP - (Sept. to May) Junior Hip Hop - Level 1 (ages 7-10) - Tuesday 5:30pm-6:05pm Junior Hip Hop - Level 2 (ages 7-10) - Monday 5:30pm-6:05pm Int./Teen Hip Hop (ages 11-17) - Monday 7:00 - 7:35pm JAZZ - (Sept. to May)JAZZ - (Sept. to May) Junior Jazz Level 1 (ages 7-10) - Tuesday 4:00 - 4:35pm 45.00/mth Junior Jazz Level 2 (ages 7-10) - Monday 4:00pm-4:35pm 45.00/mth Int./Teen Jazz (ages 11-17) - Monday 4:45 - 5:20pm 45.00/mth JAZZ - (Sept. to May) Junior Jazz Level 1 (ages 7-10) - Tuesday 4:00 - 4:35pm Junior Jazz Level 2 (ages 7-10) - Monday 4:00pm-4:35pm Int./Teen Jazz (ages 11-17) - Monday 4:45 - 5:20pm BALLET - (Sept. to May)BALLET - (Sept. to May) Junior Ballet (age 7-10) - Tuesday 6:15pm - 6:40pm 45.00/mth BALLET - (Sept. to May) Junior Ballet (age 7-10) - Tuesday 6:15pm - 6:40pm TAP - (Sept. to May)TAP - (Sept. to May) Junior Tap (ages 7-10) - Monday 6:15pm-7:00pm 45.00/mth TAP - (Sept. to May) Junior Tap (ages 7-10) - Monday 6:15pm-7:00pm ACRODANCE - (Sept. to May)ACRODANCE - (Sept. to May) Junior Acrodance 1 (ages 7-10) - Tuesday 4:45pm-5:20pm 45.00/mth Junior Acrodance 2* (ages 7-10) - Monday 4:45pm-5:20pm 45.00/mth *Level 2 Acrodance - Must have 2 years or more experience and/or at class level ** Must be Level 2 Acrodance or Company Acrodance Int./Teen Acrodance (ages 11-17) - Monday 5:30pm-6:05pm 45.00/mth Mini/Petite/ Jr. Acro Strength & Flexibility (age 7-10) — Wednesday 7:00 - 7:45pm 45.00/mth Int./Sr. Acro Strength & Flexibility (age 11 and up) - Thursday 7:30 - 8:15pm 45.00/mth ACRODANCE - (Sept. to May) Junior Acrodance 1 (ages 7-10) - Tuesday 4:45pm-5:20pm Junior Acrodance 2* (ages 7-10) - Monday 4:45pm-5:20pm *Level 2 Acrodance - Must have 2 years or more experience and/or at class level ** Must be Level 2 Acrodance or Company Acrodance Int./Teen Acrodance (ages 11-17) - Monday 5:30pm-6:05pm Mini/Petite/ Jr. Acro Strength & Flexibility (age 7-10) — Wednesday 7:00 - 7:45pm Int./Sr. Acro Strength & Flexibility (age 11 and up) - Thursday 7:30 - 8:15pm MUSICAL THEATRE - (Sept. to May)MUSICAL THEATRE - (Sept. to May) Junior Musical Theatre (age 7-10) - Monday 7:00pm-7:35pm 45.00/mth MUSICAL THEATRE - (Sept. to May) Junior Musical Theatre (age 7-10) - Monday 7:00pm-7:35pm LYRICAL - (Sept. to May)LYRICAL - (Sept. to May) Petite/Jr. Lyrical (ages 7 - 10) - Wednesday 4:45pm-5:30pm 45.00/mth LYRICAL - (Sept. to May) Petite/Jr. Lyrical (ages 7 - 10) - Wednesday 4:45pm-5:30pm TRIPLE THREAT - (Sept. to May)TRIPLE THREAT - (Sept. to May) Int./Teen Triple Threat (age 11 up) - Monday 6:15pm-6:50pm 45.00/mth TRIPLE THREAT - (Sept. to May) Int./Teen Triple Threat (age 11 up) - Monday 6:15pm-6:50pm PaymentPayment Option*Full PaymentMonthly PaymentsPayment Method*Credit CardE-TransferChequeIf you would like to set up optional payment arrangements, contact the studio. Fees non-refundable. Exceptions are made with a Doctors note stating medical reason or student is 5 years or younger.If you are paying by cheque, payment must be delivered to the studio before we can add the child to the class.Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD Monthly Payment Price: $ 0.00 CAD Release & LiabilityI hereby agree to not hold Jennifer Johns Main and staff responsible for any damages or liability due to theft, accident, or injury during or resulting from my child’s participation in any capacity of or relating to any function or activity of the said JJ Dance Performing Arts Studio. I/We give JJ Dance Performing Arts Studio permission to use any pictures video taken of me, or my child for advertising purposes.* I agree to the above terms Credit Card Card Details Cardholder Name