Reg Form – Celtic Steps Highland Dance

Dancer First Name (Required)

Dancer Last Name (Required)

Parent(s) Name(s):

Dancer’s Date of Birth

ScotDance Ontario # (if applicable)

Address (Required)

Street Address

City

Province

Postal Code

Email (Required)

Phone (Required)

Allergies / Illness

Photo Consent (Required)

From time to time we like to post photos of dancers at the studio, performing in concerts or shows, participating at competitions or to celebrate special events or awards. Do you agree and give permission for photos of your child to be used on the studio web site and other social media (i.e., Facebook and Instagram)?

Email Opt-in (Required)

Please opt-in to receive email newsletters and updates from Celtic Steps dance studio.