Sufi Whirling Dance (TBA)

Sunday

Age	Level	Start Date	Time	Location	Session/Price
16+	All Levels All Genders	TBA	TBA	TBA	Discount available For Iran’s Revolution $15 OFF 4 Sessions/ ~~100~~ $85 6 Sessions/~~150~~ $135 E-transfer: hoordance@gmail.com

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Name

Phone

Date of Birth (YYYY-MM-DD)

Emergency contact’s full name

Emergency contact’s phone number

Sessions (required)

4 sessions 6 sessions

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.

I, the undersigned, understand that Dance is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including dance. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every dance class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to a person or property, resulting from the taking of the class. Those under 18 years of age must have this form signed by a parent or guardian. Please print your full name and date below.

Important Note

Payment Policy

Once payment is processed, there will be no refund.

All tuition is to be paid on the first week of each term. A 15% penalty will be applied to outstanding fees.

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, or a designated app.

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

Make-Up Classes: If you are absent, you can take advantage of opportunities for make-up classes, either through additional sessions or by attending another class of the same level.

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

4 Sessions/ ~~100.~~ $85

6 Sessions/150. $135

E-transfer:
hoordance@gmail.com

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