Thank you for using EDCI's Online Registration for the 2011 - 2012 Dance Season.

Download A Printable Form Here: Pre-Registration Form

Please note: your $25.00 registration fee along with your first month's tuition (or 1st installment) is required at the time of registration. Your registration will not be processed without it. You can make your payment online using PAYPAL or if you prefer, you can mail a cheque to our studio address 900 Hopkins St. Unit 3 Whitby, ON L1N 6A9. If you are sending a cheque in the mail, please be sure to make a note of this in the "additional information" box on your registration form so that we are aware your payment is coming via mail instead of online payment.

Please fill out and answer all questions in the spaces provided below, and you will be contacted once your registration has been processed. Thank you.

Part A - Student Information:

Student's Name:
Parent(s) Name(s):
Address:
City:
Postal Code:
Home Phone Number:
Business / Cell Number:
Date Of Birth:
E-mail Address:
Medical Conditions:
Allergies:


Part B - Emergency Contact Information:

Name:
Telephone Number:




Part C - Registration Information:

Classes are subject to enrollment.

If you wish to enroll in a class that is not currently scheduled, you can use our Class Request form. If there is enough interest then the class may be offered.

Class 1:
Class 2:
Class 3:
Class 4:

Do you have any previous dance training? Yes No
If yes, what styles of dance, and for how many years?
 


Are you interested in competitive team auditions for Fall 2011? Yes No

Are you interested in the competitive program in the future? Yes No Unknown
 


How did you hear about us?                                Referral
Mail / Flyer
Oshawa Centre
Pickering Town Centre
Newspaper
Internet - Search Engine
Internet - Business Directory
Internet - Yellow Pages.ca
Iroquois Park / McKinney Centre
Whitby Girls Hockey Association
Other    
 


How often do you visit our website for information updates?              



Part D - Any Additional Information

Additional Information:


Terms of Agreement: Your registration fee ($25, please see top of page) is non-refundable unless we cannot provide your selected class of choice. Expressions Dance Centre has the right to shift tentatively scheduled class times until confirmed during the month of September, at which time class days and times will not change for the rest of the year.