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613.868.2500
Remix Dance Academy Inc.
Offering HIP HOP dance lessons to all ages.
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Please note that you will need to validate your email address before you can register for any Remix events. After this form is completed to create your website account, you will receive an email with a confirmation link that you will have to click on. If you have any concerns or require assistance, please contact us at 613-868-2500.
Account information
Username:
*
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
E-mail address:
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Confirm e-mail address:
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Please re-type your e-mail address to confirm it is accurate.
Account Profile
Personal Information
Name of Parent, Guardian, or Adult Student (19+):
*
This account should be in the name of a parent, guardian, or student 19 years of age or older. Students under 19 years of age are required to provide parent or guardian information. Please note that this account allows you to create multiple student registrations in case you are registering more than one child per family.
Account Type:
*
Parent or Guardian
Student (19 yrs old or more)
Daytime Telephone:
*
Evening Telephone:
*
Submitted Registrations
After your account profile is created, you will be able to submit one or more registrations. The registrations you submit will then be listed in this section of your account profile.
Mailing Address
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*
Apartment Number:
City:
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Province:
*
Ontario
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Emergency Contact Information
Emergency Contact:
*
Please list one emergency contact other than parents - consider the accessibility of person chosen.
Telephone Number of Emergency Contact:
*
Additional Parent or Guardian Information
Name of Other Parent or Guardian:
Other Parent or Guardian Telephone Number:
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Are you trying to Register?
If you are trying to register yourself or your child (or children) to Remix 2008-2009 dance classes starting in September, you'll need to
create an account first
. You can do this by clicking on "
Create new account
".