How many dancers are you registering? *

1 = $570

2 = $870

3 = $1260

Dancer 1 - Name *

First Name

Last Name

Dancer 1 - Date of birth *

MM

DD

YYYY

Dancer 2 - Name

Proceed to section 3 if only registering 1 dancer

First Name

Last Name

Dancer 2 - Date of birth

MM

DD

YYYY

Dancer 3 - Name

First Name

Last Name

Dancer 3 - Date of birth

MM

DD

YYYY

Parent / Guardian - Name *

First Name

Last Name

Parent / Guardian - Phone *

Country

(###)

###

####

Parent / Guardian - Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact - Name *

First Name

Last Name

Emergency Contact - Phone *

Country

(###)

###

####

Are you interested in volunteering with Desna School? *

If 10 hours of volunteering are not completed by May 2025, you will be charged $10 per uncompleted hour.

Yes

No - $100 charge in lieu of volunteering

*

Alternative payment plans can be discussed with the treasurer which includes: 1. Pay in full with cheques or e-transfer 2. Two installment 50% of the fee paid upon registration, 50% paid Jan. 1, 2025 3. Four installments: Sept.1, Nov. 1, Jan. 1, Mar. 1 Note: Option 2 & 3 require post-dated cheques for all payments upon registration. There will be a $40.00 service charge payable immediately to Desna for any N.S.F. cheques.

I agree to pay the annual membership fee set by Desna. The annual membership fee is payable by e transfer (treasurer@desna.ca) or cheque (FAO: The Desna Ukrainian Dance Company of Toronto).

By submitting this form, I confirm I have read and understood the Desna code of conduct and constitution and agree to follow all rules and penalties outlined.