Full Name

Date of Birth (format dd/mm/yyyy)

Health Card #

Name on Card

Does your child have any special physical or emotional needs we should be aware of?


Full Name

Cell Phone



Day Time Class $150
12 Weeks
30 minute class
12 Weeks
45 minute class
30 weeks
45 minute class
Monday 6:30-7:15 p.m. Hip Hop - ages 5-6
Monday 6:15-7:00 p.m. Acrobatics - ages 5-6
Monday 7:00-7:45 p.m. Acrobatics - ages 7-10
Monday 7:45-8:30 p.m. Acrobatics - ages 11 and up
Tuesday 6:00-6:45 p.m. Hip Hop - ages 11 and up
Tuesday 6:45-7:30 p.m. Hip Hop - ages 7-10
Tuesday 8:30-9:15 p.m. Adult Hip Hop
Tuesday 5:30-6:15 p.m. Jazz - ages 5-6
Tuesday 6:15-7:00 p.m. Jazz - ages 7-10
Tuesday 7:00-7:45 p.m. Jazz - ages 11 and up
Tuesday 6:15-7:00 p.m. Gymnastics - ages 5-6
Tuesday 7:00-7:45 p.m. Gymnastics - ages 7-10
Tuesday 7:45-8:30 p.m. Gymnastics - ages 11 and up
Wednesday 6:30-7:15 p.m. Ballet - ages 7-10
Wednesday 7:15-8:00 p.m. Lyrical - ages 11 and up
Wednesday 6:30-7:15 p.m. Adult Gymnastics / workout
Thursday 5:45-6:30 p.m. Musical Theatre - ages 7 and up
Saturday 9:15-10:00 a.m. Tap - ages 5-6
Saturday 10:00-10:45 a.m. Tap - ages 7-10
Saturday 10:45-11:30 a.m. Tap - ages 11 and up
Saturday 9:15-10:00 a.m. Gymnastics - ages 3-4
Saturday 10:00-10:45 a.m. Gymnastics - ages 5-6
Saturday 10:45-11:30 a.m. Gymnastics - ages 7-10
Saturday 11:30 a.m.-12:15 p.m. Gymnastics - ages 11 and up
Saturday 9:00-9:30 a.m. Creative Dance Class #1 - ages 3-4
Saturday 9:30-10:15 a.m. Ballet - ages 5-6  
Saturday 10:15-10:45 a.m. Creative Dance Class #2 - ages 3-4
Saturday 10:45-11:15 a.m. Creative Dance Class #3 - ages 3-4


Check one:
American Express

Please Note: If you are paying with a credit card, please call 613-623-5938 with your card details after you complete and submit this form.


PAYMENT OPTIONS Payment Amount Total Cost
Option #1: 1 payment now
Option #2: 2 payments, 1 now and 1 on October 1st
Option #3: 4 payments, 1 now and 1 each on Oct 1st, Nov 1st & Dec 1st

I choose payment option:

Option #1

Option #2

Option #3


Wk of Sept. 9th First week of dance
Sept. 30th - Oct. 5th Bring a friend to dance class
Oct. 12th - 14th Thanksgiving No classes Saturday & Monday
Oct. 21st - 26th Wear your Halloween costume to class week
Oct. 31st Classes canceled
Nov. 2nd Classes canceled
December 14th Parents invited for last CD class
December 16th - 21st Last week of 30 week program classes
Dec. 22nd – Jan. 5th Christmas & New Years No classes
Feb. 3rd - 8th Wear your PJ’s & Wack hair week
Feb. 17th Family Day no classes
Feb. 24th - 29th Bring your parents to dance class week
March 16th - 20th March Break – No classes
April 10th - 13th Easter Weekend - No Classes
April 27th – 30th Proposed Rec. performances at the Arnprior Villa
Sat. May 2nd ASD Year End Recital Algonquin Commons Theatre Woodroffe Ave. Ottawa


By submitting this registration you are acknowledging that you have read the ASD activity agenda, rules and regulations and that you and your family will abide by them.

  • No refunds will be issued after registration for any reason.
  • You agree not to issue stop payments on your cheques or cancel credit cards.
  • All post-dated cheques must be dated for the 1st of each month, return fees apply.
  • Fees covering entire dance session are required at the time of registration. Dancers will not be allowed to start lessons unless full payment is received.
  • NSF fee is $25.00. This applies to all declined credit cards. After 2 NSF's or declined credit cards, full payment in cash or money order.
  • You must inform the office with new credit card information if the expiry date changes mid-season, A $25.00 late fee charge will be applied if your payment is late.
  • Respect for the facility, instructors & fellow dancers is expected. If not followed, removal from the program will result without refund.
  • Dancers will be removed for habitual lateness, poor attendance or habitual infractions of the dress code. No refunds will be issued.
  • Any dancer who is not dressed according to the dress code or does not have their hair up & off the face will sit out & watch that class.
  • Dancers & parents must keep informed of deadlines & activities. All information will be posted on the bulletin boards & Facebook.
  • It is the dancers/parents responsibility to call the dance phone to see if classes are cancelled due to weather, holidays etc. 613-623-5938
  • Parents with a different last name than your child, must reference the child's full name in all correspondence.
  • Parents, family members & friends remain in the waiting room during classes, parents are responsible for children in waiting room.
  • Understand there is a risk of injury during physical activity, ASD or staff will not be held responsible for any injuries that may result.
  • Choreography and costumes are selected by the Teacher & Dance School Director only. Parents are responsible for all costume alterations.
  • All dancers in the Winter/Spring 12 week Creative Dance or 30 week programs require a costume for class pictures and the year-end recitals.
  • I grant permission to ASD to email me information regarding classes & events.
  • ASD may use my child’s image in pictures or videos for advertising.

I acknowledge that I have read the ASD activity agenda, rules and regulations and that I and my family will abide by them.


Studio Address:
394 Russett Drive, Arnprior K7S 3G8
Mailing Address:
204 Campbell Drive, Arnprior Ontario K7S 3G8