Ballet with your neighbour_Registration Form
Thank you for filling out this form! Spring session runs April 25-June 13 on Thursdays, 7:15-8:15 pm at Ritchie Hall (7727 98 Street NW) in the small room. I'll be sending an email reminder closer to start date.
Parent Name *
Child's Name *
Child's Date of Birth *
Child's Name
Child's Date of Birth
Email *
Address *
Ritchie Community League Membership Number
Phone number/Emergency contact *
Is there anything we should know about your children and yourself? (past injuries, surgeries or anything else that you want us to know) that would make your experience better?
How did you hear about this class? *
I understand that class could be canceled and rescheduled or moved online if restrictions request it, or if instructor has to isolate. *
Required
Payment Options *
COVID 19 protocols: We trust that you will self-assess before coming to class, hand sanitize or wash. Masking is recommended if you present any symptoms or have been exposed to symptomatic individuals. Thank you and let us know if you have any questions or concerns.
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Release and Waiver of Liability _                                         In any physical activity, risk of serious physical injury is possible. The student/parent assumes the risk of dance and releases the teacher from any liability claims. If you are not used to being active, check with your doctor.                                                                                            I __________________________ am participating in Family Friendly Adult Ballet. I am aware of the physical risks involved with strenuous exercise and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical condition which would prevent me from taking part in Ballet and I assume responsibility for any risk or injury I may sustain as a result of my participation.I have read the above release and waiver of liability and understood its contents. I agree to the terms and conditions stated above.
Signature and Date
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