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Class Registration Form
Name Contact No.
Address Line1 Address Line 2
Postal Code Province
Email    
Emergency Contact Name Number
Class
Deposit $ Remainder Owing $

In case of cancellation it must be done five business days before the start date and there is a $95 non-refundable fee. If a student cancels with less than five business days notice no refund will be made.

Jewel Envy is owned by Gillian Batcher; Jewel Envy will herein stand for Gillian.

Jewel Envy class policy and waiver to be signed by student or parent/guardian on or before the start date of class.

Public Liability Insurance:

Jewel Envy at its own expense. Shall provide Public Liability Insurance to cover any action by a third party user or visitor relating to the studio.

Jewel Envy Classes:

Students taking classes at Jewel Envy (herein called Student) hereby agree to be responsible for all or any injury, loss or damage, of every nature and kind whatsoever, to itself; the Student hearby releases and discharges Jewel Envy from any and all claims, actions, causes of actions, damages or suits arising as a result of the negligence of Jewel Envy.

Signature Date 10-03-2010
       
I am over the age of 18 Yes No Signature of Parent / Guardian for under 18 Print Name

Please make all checks payable to Gillian Batcher.
Jewel Envy, 101 Spadina Ave, Suite 214, Toronto, Ontario M5V 2K2 tel.647.436.6709 info@jewelenvy.ca