DANCE REGISTRATION FORM To officially register for a class, fill out the registration form below. TERM 3:5th September -10 December Full term: 13 Weeks & Half term: 6 Weeks Please enable JavaScript in your browser to complete this form.Term 313 weeks term. 5th September -10 December No credit card click below for invoice paymentClick here for invoice paymentParent Name *FirstLastChild's Name *Child's Age *Under 223456789101112Email *Phone *Membership Status *New MemberExisting MemberAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHow did you hear about us? *FacebookHoliday CampBirthday PartyFriend ReferralAmsterdam MamasFlyerWalk by classFacebook/InstagramFestival/Business FairOtherCLASS SELECTION13 week term. Please choose one of the classesMini Class (2.5-4 Years)Saturday Full-Term Dance 11-11:50am @ St Ignatiusgymnasium Saturday Half-Term Dance 11-11:50am @ St Ignatiusgymnasium Kinder Class (4-7 Years) Saturday Full-Term Dance 10-10:50am @ St IgnatiusgymnasiumSaturday Half-Term Dance 10-10:50am @ St IgnatiusgymnasiumPHOTO RELEASE*I hereby give permission for my child’s photo to be used for promotional/marketing purposes on behalf of Little Star Fitness, including printed matter and Little Star Fitness website and Facebook Page. *I GIVE permissionI DO NOT GIVE permissionPARENT'S RESPONSIBILITYDue to the COVID-19 requirements, the outside door will be open 2 minutes before class begins, this will ensure all children enter the class within a two minute window. All Mini & Kinder dancers are required to be dropped off by one parent to the classroom with no parent interaction inside the classroom or during class. At the end of the class the dance teacher will bring the children to the outside door for parents to collect each child. We are trying to keep the numbers as low as possible. As a parent/guardian I understand the need to make sure my Mini/Kinder dancer is physically dropped off to the LSF dance teacher. Once this handover is completed, your Mini/Kinder child is officially in LSF care. LSF can not take responsibility for your child until LSF dance teacher has sighted your child inside the venue and acknowledged drop off. *I understand WAIVERDISCLAIMER: Please read the disclaimer below and click agree to continue. *I AGREEI hereby I wish that my child participate in activities offered by Little Star Fitness NL (LSF). During the activities at LSF, participants will be involved in some or all of the following: sporting activities, dance, cheer, hands on learning of juggling and prop manipulations arts, tightrope, trapeze, aerial silks, floor gymnastics, human pyramids and other similar activities. At Little Star Fitness NL, we prioritise safety for our students. Skills are taught progressively, and aerial equipment is kept closer to the ground until the student is ready to go higher. The chance of injury is low. However, like any physical activity, there is the chance of getting hurt, falling or straining a muscle are the main risks, though more serious injuries could happen.CONSENT: Please read the consent information below and click agree to continue. *I AGREEI acknowledge that I understand there is a risk of injury and I accept the risks and would like my child to participate in the activities. I understand that it is my responsibility to consult with a physician prior to and regarding any participation in these activities especially if health issues are a concern. I attest that my child is physically fit and has no medical conditions that would prevent their participation in these activities. I agree to assume full responsibility for any risks, injuries or damages, which I might incur as a result of participating in these activities. I agree to inform the instructor(s) or staff of Little Star Fitness NL of any physical limitations, physical discomforts and/or injuries, and I take full responsibility for nondisclosure. In further consideration to participate in these activities, I knowingly, voluntarily and expressly waive any claim I may have against Little Star Fitness NL, the coaches, the directors, and volunteers, for injury or damages that my child may sustain as a result of participating in these activities.WAIVER: *I have read the above release waiver of liability and fully understand its contents. By signing below, I voluntarily agree to its contents and agree to the terms and conditions stated above.Signature *Clear SignatureSign-up to our newsletter?COVID-19 MEASURES *I have read the safety measures LSF has put in place - COVID-19 SAFETY MEASURESTERMS OF SERVICE *I have read and agreed to the Terms of ServiceTOTAL0,00 €Stripe Credit Card *CardName on CardMessageSubmit