McConnell School of Dance - Cead Mile Failte - A Hundred Thousand Welcomes -

One of the longest established Irish Dance schools in North America
and the largest Irish Dance school in Manitoba

2011 - 2012 Registration

Dancer Full Name

Address

City

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Home Phone

Work Phone

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Primary E-Mail

Secondary E-Mail

1. Parent / Guardian

Parent Contact Information

2. Parent / Guardian

Parent Contact Information

Please Select Classes You Wish To Register For

Monday General DivisionMon Preschool 5:30 - 6:15 PMMon Beginner 5:30 - 6:30 PMMon Novice 5:30 - 7:00 PMMon Preliminary 5:30 - 7:00 PMMon Interm 6:30 - 8:00 PMMon H/S Technique 7:00-8:00 PMMon Adult Intro7:30-8:30 PMAdult Inter/Adv 7:30-9:00 PMMon Open 14 8:30-10:00 PMAdult Performance 9:00 -9:30PM

Tuesday and Thursday Performance DivisionJr Performance 5:30-7:30 PMInt Performance 6:30-9:30 PM14 Performance7:00-10:00PMAdv Performance7:00-10:00PM

Wednesday General DivisionWed Preschool 5:30 - 6:15 PMWed Beginner 5:30 - 6:30 PMWed Novice 5:30 - 7:00 PMWed Preliminary 5:30 - 7:00 PMWed Intermediate 6:30-8:00 PMWed H/S Tech 7:00-7:30 PMWed Adult Intro 7:30-8:30PMWed Adult Int/Adv 7:30-9:00PMWed Open 14 8:30 - 10:00 PM

Friday General DivisionFriday Novice 5:30-7:00 PMFriday Preliminary 5:30-7:00 PMFriday Teen Intro 5:30 - 7:00 PM

Saturday General DivisionSat Preschool 10:30-11:15 AMSat Beginner 10:30-11:30 AMSat Novice 11:30 - 1:00 PMSat Preliminary 11:30 - 1:00 PMSat Intermediate 11:30 - 1:00 PM

Website Login

Member Name - no spaces or capital letters

Website Password - no capital letters or spaces

Please indicate any medical or health issues which may be relevant

ACKNOWLEDGEMENT OF RISK, WAIVER OF RIGHTSAND INDEMNITY AGREEMENT

I acknowledge that dancing, including Irish Dancing, in all its facets, as taught by and performed at and in connection with McConnell School of Dance can be an inherently risky activity. In recognition of the above, I RELEASE and WAIVE and AGREE TO INDEMNIFY, HOLD HARMLESS OR REIMBURSE McConnell School of Dance and any and all related organizations, subsidiaries, affiliates and their individual members, employees, consultants, volunteers, insurers, agents and representatives, including faculty and board members of McConnell School of Dance Students Association from and against all claims (including defence legal fees) which I/We, any other parent or guardian, any sibling, the student, or any other person, firm or corporation, may have or claim to have, known or unknown, directly or indirectly for any losses, damages or injuries to the student or the parent/guardian, or to any person or property, during the time of the students attendance or the physical attendance of the parent/guardian at McConnell School of Dance, during travel to or from McConnell School of Dance, or an event or performance of or for McConnell School of Dance, and during any activity which may occur off McConnell School of Dance property or usual dance facilities, whether or not such losses, damages or injuries were sustained in connection with the school or its activities.nI/We understand and accept that in order to properly teach and correct dance movement and technique, physical contact between the student and the instructor, or assistant instructors is necessary. Such contact, as is considered necessary by the instructor or assistant instructors, is consented to by the student and/or the parent/guardian.nI/We consent to the taking and use of photographs or videos of myself/us or my/our child by McConnell School of Dance for use in promoting McConnell School of Dance , its programs, activities or events, including in Academy publications, newsletters and web pages on the Internet, calendars, occasional news releases or other promotional uses. I/We understand and agree that McConnell School of Dance does not need to notify me/us or solicit my/our approval or compensate me/us in any way prior to using any such photographs or videos. ntn

I HAVE READ AND UNDERSTAND THE FOREGOING AND WILLINGLY AGREE TO THE ABOVEI agree

Please list additional family members registered

General DivisionPerformance Division

Total Weekly Class Hours - total weekly hours for 1 student only (do not add total family hours)

Payment Method - please select one (cash or cheque payemts cannot be submitted on-line)VisaMaster Card

Payment Type9 - Monthly 3 - Term 1 - Full Season

Payment Amount - please indicate amount for monthly, term, or full payment

All information will remain confidential and is used only for registration purposes. Successful registration is dependant on class availability, and payment of registration fees.

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