Breaking Bounds Summer Summer Dance Intensive Registration

Note: Registrations are not refundable.

Click here for the printable registration form.

1 Step 1


Registration Form

July 24-29 2017

Student Nameyour full name
Parent's Nameyour full name
Mailing Addressmore details
0 /
Home Phone
Mobile Phone
Ageage of student
Dance Studio Affiliationfull name
Dance Studio Directorfull name
Event Registration and Fees
I have received a scholarship towards
For the Amount of:your full name
Breaking Bounds Summer Dance Intensive
(please check your choices)
Please Add HST to all Additional Optional Packages
# ticketsyour full name

5 -10 Dancers: Receive $100 off each registration

11-20 Dancers: Receive $300 off each registration

21 or more Dancers: Please contact us directly

CLICK HERE for more information!

Online Via PayPal
Amountyour full name
Cheque or Money Order by Mail
Amountyour full name
E-transfer to
Amountyour full name

***All registrations will be acknowledged with a confirmation notice and package by email

***Do Not send cash in the mail

***All NSF cheques will be subject to a $45 NSF Fee

*** All payments MUST be made in full prior to the first day of registration. If partial payments have been made, but the balance is outstanding, the student will not be allowed to participate

If Mailing Payment,

Send To:


3092 Preserve Drive,

Oakville, ON

L6M 0T8


Registrations are non-refundable. All Participants will be required to sign a waiver prior to participation.

Disclaimer/Participation Waiver

DanceFuzion shall not be responsible or liable in any way for any loss, death, injury or damage topersons or property suffered or incurred by any person in connection with these events, this tour or anyportion of it. DanceFuzion reserves the right to change, cancel or substitute dates, locations, classes andschedules. Add or remove faculty members and prizes at anytime. DanceFuzion prohibits anyvideotaping of classes and choreography during the event. DanceFuzion reserves the right to use anyphotos, video footage or the like for publicity and marketing of the DanceFuzion events if so desired.

Name of Parent/Guardianyour full name
Dateyour full name
Name of Participant (18 or over)your full name
Dateyour full name

Scholarship Winners: To Redeem Your Scholarship and To Register You Must Email or Call Us at 416-277-5161.

Breaking Bounds Summer Dance Intensive 2017

To Pay In Installments:

Breaking Bounds Fees
Number of payments 1
No. Due* Amount
1 At checkout $300.00 CAD
Total $300.00 CAD
Breaking Bounds Tuition Fees
Number of payments 2
Start payments At checkout
Due* Amount
At checkout $600.00 CAD
Every 1 month (x 1) $600.00 CAD
Total $1,200.00 CAD
* We calculate payments from the date of checkout.
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