Resonate Dance Company

Student Name

Birth Date

Contact Number

Email Address

In Case of Emergency Contact

Emergency Contact Number

Emergency Contact : Please select relation to student

Parent
Legal Guardian
Friend
Spouse
Other

Health Information: Please list any existing health conditions we need to know about (example: food allergies, previous injuries or surgeries) as well as any activities you should refrain from (such as tumbles or high-impact movement)

Are your immunisations up to date?

Yes
No

Insurance Company and Policy Number (in case of emergencies)

User Agreement

By continuing, you agree to our Privacy Policy and Terms of Service

1. A one-time registration form must be completed for all students upon joining Resonate Dance Company.
2. All Resonate classes or workshops must be pre-booked by contacting Resonate Dance Company (up to one week before class commencement). 
3. Any cancellations by the student must be done up to 12 hours prior to the commencement of the relevant class/workshop in order to enable Resonate Dance Company to notify those on waitlist. 
4. Resonate Dance Company reserves the right to cancel any classes at any time up to and including the date the class starts. Should this occur, we will endevour to give you as much notice as possible via text or phone/word of mouth, and will discuss any payment-related issues. 
5. Students are expected to demonstrate respectable behaviour towards all Resonate personnel including all coaches and guests. 
6. All students will be responsible for their own property. 
7. Students below the age of 18 who participate in any dance classes/workshops for adults must do so at their own discretion and understand that the music used in class may contain some explicit/profane language. The guardian/parent hereby consents to the use of such music and Resonate Dance Company is not responsible for any repurcussions. 
8. Students taking part in any of the classes/workshops run by Resonate must do so at their own risk, and will assume all responsibility for their own safety and well-being. 
9. In case of medical emergency or general medical care, I give consent for medical treatment for the above named student by authorised personnel. 
10. I give my permission for Resonate Dance Company to transport, call an ambulance, or take my child to a medical/dental facility if neccessary. 
11. In case of emergency, if none of the emergency contacts respond, I hereby give my consent for emergency medical care to be prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are neccessary to preserve the life, limb, or well-being of my dependent. I accept full responsibility for all costs of said medical care and any emergency treatments. 
12. Resonate Dance Company will not be held responsible for the cost of any medical or dental care or emergency treatments. 
13. I agree that I am either the student or the parent/legal guardian of the above student named and am over the age of 18.

By completing and submitting the above registration form to enrol with Resonate Dance Company, the student and/or parent/legal guardian hereby agrees to the terms and conditions detailed above. (By clicking submit, I hereby give my consent and digital signature).