Registration Form

DANCESPORT MD KIDS CLUB -­‐-­‐-­‐ building your child’s confidence one step at a time INTRODUCTION TO BALLROOM DANCING (AGES 6-­‐11) Join Diana Lefebvre and her team in an introduction to Ballroom dancing! Dances introduced are Merengue, Jive, ChaCha and Waltz and more! The class is designed to introduce the four most common dances in an atmosphere promoting social etiquette and FUN!! No partner required! th
Saturdays April 11 -­‐ June 6 (no class May 9) at Ballroom & Country Dance Studio [121 – 17 Avenue NE] 8 weeks/$99 (includes gst) 10:30am-­‐Noon (1 hour class and 1/2 hour practice party) Parent Watch Day with Demonstration on June 6th! Dress Code: BOYS: dress pants or yoga pants, t-­‐shirt tucked in (NO JEANS permitted) GIRLS: Skirt or leggings, bodysuit or t-­‐shirt, hair up out of face (NO JEANS permitted) Shoes: runners (non marking) dress shoes/dance shoes/ballet slippers REGISTRATION FORM (deadline April 6. 2015) Please register my child in: AGES 6-­‐8__________ AGES: 9-­‐11 _______ Name: _________________________________________________ Date of birth : _____________________________ Address: ___________________________________________________________________________________________ Phone (home): __________________________________________ Phone (cell): ______________________________ Parents' names: _____________________________________________________________________________________ Parents' Email: ______________________________________________________________________________________ Payment by cheque (payable to "Dancesport MD"). Please note there are no refunds for missed classes. WAIVER: I agree that I hereby release and forever discharge "DANCESPORT MD" and their officers, agents, assigns and employees of and from any and all action, claims and demands whatsoever in law or in equity which I, my heirs, executors, administrators or assigns can, shall or may have by reason for any damage, loss or injury to my person or property howsoever caused, including negligent acts, which hereafter may be sustained by myself or arise as a result of receiving or taking any and all instruction from "DANCESPORT MD" or arising as a result of my attendance of classes, workshops, social functions, fundraisers, competitions, or any other events that may occur. I acknowledge that the services provided are physical in nature and I hereby assume full and sole responsibility for my own health, safety and well-­‐being. Parents signature: _______________________________________ Date: _______________________________________ DESIGN: HYPE MEDIA.CA
Martin and Diana Lefebvre are two of Canada’s top dancesport trainers. Together they represented Canada on the professional latin circuit for six years and in 2003 were Canada’s representatives at the World Professional Latin Championships in Innsbruck, Austria. Martin, a two time Canadian and North American Amateur Latin Champion and Diana, a Canadian Professional Ten-­‐
Dance Finalist, are largely responsible for facilitating Alberta’s booming ballroom scene. After starting Alberta’s first dancesport program in 1999, four of their couples have been invited to be Canada’s representatives at various World Championships. A most recent highlight is of course five of their dancers making it to the finals in So You Think You Can Dance Canada with Anthony Grafton making it to the Top 18 in Season 2 and Julia Harnett in Season 3. In 2006, after nine years, Martin and Diana sold their studio, got married and in 2008 welcomed the birth of their baby girl Bianca. They now manage their time running their Calgary-­‐based competitive program and Diana’s award winning fitness company BURLESQUERCISE. DANCESPORT MD
MARTIN & DIANA
Available for dancesport coaching & judging.
[email protected] 403.690.8423 [email protected]
www.dancesportmd.ca