FOUNDER DAY-MAR 8 APPLICATION

Zeekers FOUNDER DAY//PREVIEW CLASS — MAR 8 ⚡️Application Form

First name

Last name

Gender

Phone

Birthday

Month

Day

Year

Municipality

Age

Please enter your current age

ENTRY (choose one):

Founder Screening (with Carol) — $25 + HST (feedback + placement guidance included)

Preview Class (with Julia) — $18 + HST

Please select the lesson you are applying for

Julia 11:15–12:15 Kpop Choreography (Age 7–12)

Julia 12:25–1:40 Kpop Choreography (Beginner)

Carol D’ 2:00–3:00 Choreography (Age 7–12)

Carol D’ 3:15–4:30 Choreography (Open Level)

Please upload the transfer slip

Your spot will be officially confirmed once both the form and payment are received.

Complete the e-Transfer payment to partakezeekers@gmail.com

Dance Experience

None

1–2 years

3–5 years

6+ years

How many years of dance experience do you have?

Emergency Contact

Emergency Contact Phone

Emergency Contact Relation

Medical Information - Do you have any medical conditions, injuries, or allergies we should be aware of?

No, I do not have any medical conditions, injuries, or allergies.

Yes — please specify:

Medical Information — Please specify

CONSENT & LEGAL AGREEMENT (REQUIRED) All boxes must be checked before signing.

I have read and agree to the Studio Enrolment Terms & Conditions, including payment policies, cancellation terms, refund rules, and participation eligibility.

I have read and agree to the Liability Waiver & Assumption of Risk (Adult / Minor Selectable Agreement) and understand that this Agreement releases the Studio from liability for ordinary negligence and affects my legal rights.

I have read and agree to comply with the ZEEKERS DANZ & ZEEKERS JUNIOR Program Handbook, Code of Conduct, and all operational policies.

If signing on behalf of a minor Participant, I confirm that: • I am the legal parent or court-appointed guardian • I have full legal authority to bind the minor • I consent to the minor’s participation • I agree to all referenced Agreements on behalf of the minor

Click here to view the full [ENROLMENT T&C][LIABILITY WAIVER & ASSUMPTION OF RISK-ADULT] [LIABILITY WAIVER & ASSUMPTION OF RISK-MINOR] [PROGRAM HANDBOOK] By signing, I confirm I have read and agree to the documents above. I understand this is legally binding and I may be giving up legal rights, including the right to sue.The Studio has final decision authority on participation, placement, safety, discipline, and policy interpretation.

Signature

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