Participant Registration

Participant Registration Details

* Please capture the details of the Participant and not Parents

First Name

Middle Name

Last Name

Date Of Birth

Address 1

Address2

City

Province

Postal Code

Choose Preffered location and class

Cell Number

Residence No.

Gender
Male Female

Add Additional Participant

Male Female

Email Details

Please create a Username and Password below. You will use this information to sign in during future visits.

To protect Your Account, we recommend that you choose a password apart from names, birthdays, or street addresses associated with you. Sign in information is case sensitive.

Create Password

Confirm Password

Parent/Guardian Emergency Contact

Name

Contact Numbers

Are You the Participant Are You the Parent(Registering on behalf of the Participant)

Please provide the registered Participant details

Would like to receive important information about Bollywood Dance School Canada via e-mail, including schedule, special offers and promotions? (You can withdraw your consent at any time.)

Yes please No thanks

We want you to know exactly how our service works and why we need your registration details. Please state that you have read and agree to these terms & conditions before continuing. Please Click here to view terms & conditions.

Please state that you have read and agree to the Liability Waiver before continuing. Please Click here to view Liability Waiver.

I have read, understood and agree to be bound by the terms & conditions, liability waiver. I also understood how bollywood Dance School Canada intends to use my information.

Your account has been successfully created. An activation link has been sent to your email account.

Please check your email and click the activation link to activate your account.

Participant Registration

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