G9 Bhangra Registration Form

    Fill the form below to register for Bhangra or Giddha Class

    Student's First Name* (required)
    Student's Last Name* (required)
    Contact Number* (required)
    Whatsapp Contact Number*
    Alternative Contact Number* (required)
    Email Address*
    Date of Birth*(required)
    Class Location* (required)
    Class Type * (required)
    Street Address* (required)
    City * (required)
    Postal code * (required)
    Acknowledgement Consent Release: Know all persons by these present that I, the undersigned, do hereby release and forever discharge G9 Bhangra Academy, its servants, employees, agents, or invitees, of and from any, all claims, demands, risks or invitees of and from any and all claims, demands, risks or clauses or action of whatsoever kind or nature, arising from, or by reason of any and all known or unknown, foreseen or unforeseen, bodily or personal injury, that may be sustained by myself, my child/children, or anyone in care, while engaged or participating in the dance instruction/program conducted by G9 Bhangra Academy at the business premises in Kitchener, Cambridge, Guelph or Woodstock. Please Accept following Terms & Conditions: I accept Consent Release and Terms & Conditions Registration fee is $50 per student, waived upon 4months minimum continuous enrolment. Fee is due on first day of every month. Every failed or declined payment will charge customer $30+HST. (NSF Fee) If you decide to quit class, For us to stop payment, Written Notice via request form is required 3 Weeks in prior to your scheduled fee date (1st Day of Month). Please be aware, We do not refund Fee in any case. I allow G9 Bhangra Academy to do Photography & Videography for Educating & Marketing Purposes
    Please sign by Printing your name (Parents or Students above 18yrs)