Hoor Dance

Persian Dance

Hip Hop & Break Dance Class (Richmond Hill)

Age	Program Info	Level
8-16 yrs	2-Month Summer Program 2 Session per Week	All Levels
Date / Time	Location	Session/Price
Tuesdays & Thursdays June 23 – August 27 Time: TBA	Langstaff CC 155 Red Maple Rd, Richmond Hill, ON L4B 4P9 Tollgate Room (Fitness Classes)	Full Summer Package: $215 Monthly Option: $150 E-transfer: hoordance@gmail.com

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Student Full Name (First name and Last name)

Parents Email

Parents Phone

Date of Birth (YYYY-MM-DD)

Emergency contact’s full name

Emergency contact’s phone number

Iranian Dance (required)

Full Summer Package Monthly (June 23 -July 23) Monthly (July 28 – August 27)

Have you practiced Dance before? (required)

Yes No

If yes, for how long? and What kind of Dance?

Limitations/Injuries

Do you have numbness/pain in any areas of your body? If yes, where?

Other Details

If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in Dance that you listen to your body and respect its limits on any given day.

Parent/Guardian Consent & Liability Waiver

I, the undersigned parent or legal guardian of the registered child, understand that participation in dance classes involves physical activity and may carry a risk of injury. I confirm that my child is physically able to participate in this program. I understand that dance instruction is not a substitute for medical advice, diagnosis, or treatment, and I agree that it is my responsibility to consult a physician if I have any concerns about my child’s health before participation.
I agree to inform the instructor of any medical conditions, injuries, allergies, or special needs that may affect my child’s participation before classes begin.
I understand that my child should participate only within their comfort level and should not continue any activity that causes pain or discomfort.
I acknowledge and accept that the instructor and hosting facility are not responsible or liable for any injury, loss, or damage to person or property that may occur as a result of participation in the program, except where required by law.
By signing below, I give permission for my child to participate in the dance program.

Important Note

Payment Policy

Once payment is processed, there will be no refund.

If you need to cancel your registration, we can retain your payment as a credit for future use.

Absence Policy

Advance Notice: Students should notify the instructor at least 24 hours in advance if they will be absent. This can be done via email, phone.

Emergency Absences: In case of emergencies, students should inform the instructor as soon as possible.

Payment:

Full Summer Package: $215
Monthly Option: $150 per month
E-transfer:
hoordance@gmail.com

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Once payment is processed, there will be no refund.*

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I agree with all terms and conditions.*