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Jörgen Community Dance - Community Dance Classes

    The Ages 13-18 class has been cancelled.
  • Student Information

  • MM slash DD slash YYYY
  • Participants must have a Regent Park address. Registration priority will be given to TCHC tenants.
    This question is a part of information collected for our program funding through Jumpstart. If you are not comfortable answering this question or do not wish to share this information, please skip this question.
  • Injuries & Health Concerns

  • During Program Emergency Contact

  • Waiver of Liability & Policy Consent

  • If the Student is under the age of 18, this waiver & policy must be consented to by a parent or legal guardian.
  • In Consideration of Canada’s Ballet Jörgen accepting the Student into the program, the undersigned hereby waives any claims to which undersigned may become entitled for injury or damage and releases Canada’s Ballet Jörgen, its employees, officers and directors and teachers in the Program, from any claims for injury or damage the Student may suffer or incur while participating in the Program.
  • Please view the policy at the top of this page.
  • I/We [Parent/Legal Guardian listed above] hereby irrevocable grant to Canada’s Ballet Jörgen & George Brown Dance the non-exclusive right to use and incorporate, along or together with other materials, in whole or in part, screen shots or screen recordings taken of [Student Name listed above] as a Result of my participation in Canada’s Ballet Jörgen & George Brown Dance. I/We agree that these MATERIALS will be the exclusive property of Canada’s Ballet Jörgen & George Brown Dance, and that all reproduction rights are handed over to Canada’s Ballet Jörgen & George Brown dance to use the MATERIALS in such medium as brochures, flyers, poster, web sites in perpetuity.

    I/We understand that in signing this release in duplicate that there will be no compensation or remuneration for the use of these MATERIALS and there is no guarantee that they will be use.
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  • How did you hear about this program?

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Head Office:
160 Kendal Avenue, Building C, Room 126
Toronto, ON M5R 1M3
Email: info@balletjorgen.ca
Tel: 416-961-4725
Fax: 416-415-2865

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