sign up today New Student Registration Form Student InformationExpected Start Date *Student's Name *Date of Birth *Address *City *Please select an optionAirdrieBeaumontBrooksBlack DiamondCalgaryCamroseChestermereCold LakeEdmontonFort SaskatchewanGrande PrairieHigh RiverLacombeLeducLethbridgeLloydminsterMedicine HatNantunOkotoksRed DeerSpruce GroveSt. AlbertVulcanWetaskiwinOtherProvince *Please select an optionAlbertaPostal Code *Primary Phone No. *Primary Email Address *Class Name *Please select an optionZumbaHip-hopJazz DanceBelly DanceStrong NationBollywood DanceWedding ChoreographyBollywood Fusion DanceClassical Dance (kathak)Bhangra & giddha danceEmergency ContactPerson Name *Contact No. *Relation *Legal Release & Policy Acceptance (please check this)I/we understand the Studio PolicyI/we understand my billing obligationsI/we understand the risks related to danceI/we understand my responsibilities for my propertyI/we understand the scheduleI/we give media use rights permissionMedicalAny Allergies *Will your child require any special medical attention during a normal class: (Yes/No) *YesNoIf Yes - Please Explain *By signing this form, I understand my child may be photographed while at the dance school or at events. Gurukul Dance Studio will request my permission to use my child's image(s) for promotional purposes.I agree that I will not hold Gurukul Dance Studio responsible for any injury or loss of belonging(s).Signature/Responsible Party *Date * Submit ApplicationPlease do not fill in this field.