Request to Register | Dance/Movement Classes for Kids

Dance & Movement Class for Kids - Request to Register

This form is to request registration for your child in the upcoming Dance & Movement Class for Kids.

Registration requests may be denied if your registration was received after all available spots have been filled, or after the registration cut-off date. In this case your credit card will not be charged and you will be contacted.

If your child has successfully been registered for the class, you will receive booking confirmation emails, as well as an emailed intake form and receipt of your payment.

Please allow 1-2 business days for your request to be processed.

This class is to be held in Community Room 2 at Reach. (5050 47th Ave. Ladner)

How many children will you be registering?*
If registering over four participants, please call 604-283-7827 ext.0 to register.
Participant #1
Participant #1 Name*
First Last
Participant #1 Age*
Ages 3-5
This child will be registered for the 3:30-4:20PM class.
Ages 6-8
This child will be registered for the 4:30-5:20 PM class.
Participant #2
Participant #2 Name*
First Last
Participant #2 Age*
Ages 3-5
This child will be registered for the 3:30-4:20PM class.
Ages 6-8
This child will be registered for the 4:30-5:20 PM class.
Participant #3
Participant #3 Name*
First Last
Participant #3 Age*
Ages 3-5
This child will be registered for the 3:30-4:20PM class.
Ages 6-8
This child will be registered for the 4:30-5:20 PM class.
Participant #4
Participant #4 Name*
First Last
Participant #4 Age*
Ages 3-5
This child will be registered for the 3:30-4:20PM class.
Ages 6-8
This child will be registered for the 4:30-5:20 PM class.
Contact Information
For parents or guardians.
Name of Primary Contact*
First Last
Cell Phone of Primary Contact*
Email of Primary Contact*
Name of Secondary Contact*
First Last
Cell Phone of Secondary Contact*
Cancellation/Refund Policy*
Refunds will only be given up to 2 weeks prior to the start of the program. After this period, no refunds will be given. This group program is offered as a whole. Refunds or rescheduling will not be available for missed classes.
I agree to the cancellation/refund policy.
Credit Card Information

If your registration request is accepted, your card will be charged a one-time fee for this registration. You will be emailed a payment receipt.

If spots are no longer available your card will not be charged, and you will be contacted.
Name of Cardholder*
Account Type*
Account Number*
Expiration Date*
Please enter in "01" for the expiration day.
YYYY
MM
DD
3 Digit Security Code*
You can typically find this number on the back of your credit card.
Billing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Credit Card Authorization*
I authorize Alongside You to charge the credit card indicated in this form, for a one-time payment according to the terms outlined above, and according to the Alongside You cancellation policy. I authorize Alongside You to charge my account for services rendered. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.
Signature*
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Dance & Movement Class for Kids - Request to Register

Participant #1

Ages 3-5

Ages 6-8

Participant #2

Ages 3-5

Ages 6-8

Participant #3

Ages 3-5

Ages 6-8

Participant #4

Ages 3-5

Ages 6-8

Contact Information

Credit Card Information

Opening Hours