Adult Class Registration Form 2026-27

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Please fill out this form to register yourself for the 2026-27 Dance Season. You will be contacted through e-mail once the form has been received and processed. If you have any questions please contact Impact Dance Co. email impactdancehumboldt@outlook.com If you need any information about any of the classes offered we encourage you to look at the website for a detailed description of each adult class at Impact Dance Company.
impactdancehumboldt.com

GST will be charged on all Classes, Costumes, Competition Entries, Etc.

We have 4 different Adult Classes in the schedule this season.

Beginner Adult Tap - This class is for those who may have danced in their 'younger years' and want to get back into it. It is also for anyone who has ever wanted to try tap, but never has - NOW IS YOUR TIME!! The class will be for beginners and new intermediates. You will have the option to attend dance competitions or not. There will be more information about options once we get started if you are unsure at this time. (If you are unsure please check the non- competitive box for adult tap ,and if you change your mind we can easily adjust your invoice. )

Intermediate/Advanced Adult Tap - This class is for those who danced tap as a younger person and want to once again pick it up. A basic knowledge of steps will be beneficial when taking this class. We will pick up right where you left off as a student dancer. You will have the option to attend dance competitions or not. There will be more information about options once we get started if you are unsure at this time. If you are unsure please check the non- competitive box for adult tap ,and if you change your mind we can easily adjust your invoice. )

Adult Street Jazz - This class is for any and all levels that want to get into the studio with jazz dancing. Adults of all levels and abilities will be together in the class. If you were a dancer growing up, or never danced in a studio setting - this class is for you!

Adult Barre Class (8 week session) Barre is a toning, body weight lifting workout. It engages muscles you wouldn't normally reach by using high reps and low impact movements. This workout is for anyone looking to fine tune their muscles in a fun upbeat environment. This class welcomes first timers and your instructor will guide you throughout. No ballet experience needed.

More information about these classes will be available once your registration is processed.

First and Last Name *

Birthdate PLEASE NOTE (MM/DD/YYYY) *

Phone Number

Email Address (add all email address's you would like correspondence sent to) *

Please indicate which class(es) you are registering for. *

MONDAY Adult Street Jazz 8:00-8:45pm

MONDAY Inter/Advanced Adult Tap 9:00-9:45pm

WEDNESDAY Adult Barre (8 week session) 8:00-8:45pm

THURSDAY Adult Beginner Tap 8:30-9:15pm

MONDAY Baby Barre Class (Mom and Baby) 9:30-10:15am

Required

Do you give permission to use photos for promotional, online and/or print purposes? *

Yes

Please read and check the box that you understand and agree with Impact Dance Company Studio Contract *

All Statutory Holidays will be observed by the studio, unless otherwise notified. It is the Parents responsibility to keep informed of studio activities via newsletters/emails and website.

Proper dance attire will be expected of each dancer. (MOMS - wear comfy clothing!) Clean Runners Please

Students are to attend class regularly (no refund for missed classes). If the student misses 3 classes during the dance season they may potentially be removed from competition.

Class tuition can be paid monthly (9 payments) OR pay quarterly(Sept. 1, Dec. 1st, Feb. 1st and May 1st.) OR 2 equal payments (September & February) pay in full at Registration. Payments can be made using E-transfer, Cheque, Cash or Direct Deposit

1 month written notice must be given upon termination of classes. If a dancer drops a class after November 1st payment is required for competition fees and costume fees. NO EXCEPTIONS

A registration fee of $40.00 will be charged upon registration for each dancer. NON REFUNDABLE.

IMPACT DANCE CO. will not accept responsibility for any accident, injury, or loss of personal property.

Account balance needs to be up-to-date in order to be handed costumes when they arrive.

Disruption and disrespect during class and/or break time may result in the student being excluded from the class as well as parents will be notified.

Required

STUDIO Acknowledgement of risk and general release of liability. The following waiver of all claims, release from all liability, assumption of all risks and other terms of this agreement are entered into by me on behalf of the undersigned student (the 'student') with and for the benefit of the Instructors Terralea Armstrong & Kylie Redl-Gosselin, operating as Impact Dance Company, together with their officers, directors, agents, employees, successors, and assigns (collectively 'Instructors'). In consideration of the Instructors allowing the Student to attend the Studio premises, participate in dance lessons, competitions, and all associated activities (collectively the 'Dance Activities') I agree: *

1. The inherent nature of Dance Activities include but is not limited to contact and non-contact poses, tricks, lessons, classes, training, use of facility programs and services provided to the Student by the Instructor(s).

2. I am aware that there are inherent dangers, hazards and Risks ('Risks') associated with the participation in Dance Activities. I am aware that the Risks include but are not limited to injury from physical contact with other students, instructors or equipment, performing a skill incorrectly or potentially dangerous obstacles, conditions on the floor or in the vicinity of Students during Dance Activities. I understand that the Risks are relative to the Students state of fitness or health (physical, mental, and emotional) and to the awareness, care and skill with which with the student conducts hum/herself in Dance Activites.

3. I freely and fully assume and accept all responsibility for all Risks and possibilities of personal injury, loss, or property damage arising from, associated with, or in any way related to the Student's participation in Dance Activities, or their attendance at the Studio premises, including Risks that are both known and unknown.

4. I agree that although the Instructors have taken steps to reduce the Risk and increase the safety of Dance Activities, it is not possible for the Instructors to make Dance Activities completely safe.

5. I accept these Risks and agree to the terms of this waiver even if the Instructors are found to be negligent or in breach of any duty of care or any obligation to the Student in the Student's participation in Dance Activities, or their attendance at the Studio premises.

6. I and my next of kin, executors, administrators, as well as the Students next of kin, executors, and administrators (collectively our 'Legal Representatives') expressly agree: (A) To waive all claims that I, the Student or our Legal Representatives have or may have in the future against the Instructors ; and (B) To release and forever discharge the Instructors from all liability for all personal injury, loss, damage, or property damage arising from, associated with, or related to the Student's participation in Dance Activities due to any cause, including but not limited to negligence on the part of the Instructors (failure to use such care as a reasonable, prudent, and careful person would use under similar circumstances).

7. I, the undersigned, confirm that I have had sufficient time to read and understand each term in this acknowledgment and waiver in its entirety, and have agreed to the terms freely and voluntarily. I understand that by checking the box, I am knowingly and willingly agreeing on behalf of myself, the Student, and our Legal Representatives, to release the Instructors, and their principles, owners, officers, agents, and employees from all liabilities and risks incident to the Student's attendance at the Studio and any associated Dance Activities. I expressly intend that this waiver be binding on myself, the Student, and our Legal Representatives.

Required

Today's Date *

YYYY

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