Dance Intake Form

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Dance Intake Form

Sunehri Arts Club
📍 #114 12827 76 Ave Surrey BC V3W2V3
Located at the backside of the building inside South Asian Arts | 📞 778 823 4563

Email *

First and Last Name (Booking Individual) *

Phone Number *

Event Date *

Type of Lesson *

One on One

Group

Couple

Purpose of Lesson *

Engagement

Wedding

Birthday

Work Event

Girls Night/Kitty

Basic Steps for Beginners/ For Fun

Other:

How many Dancers (approximately)? *

How many groups? Choose from the following:

Sisters / girls

Brothers / boys

Friends

Mom

Dad

Grandparents

Aunts

Aunts/Uncles

Which styles would you like to learn? *

Bhangra

Gidha

Bollywood

HipHop

Couple First Dance

Required

How did you hear about us? *

Share the full name of all individuals (This is required for legal and safety purposes.) *

The above stated individuals consent to: *

I confirm that the individual is fit to participate in dance classes.

I acknowledge that I must advise SAC of any pre-existing and present medical conditions prior to enrolment.

I acknowledge that dance involves risks of injury and I accept that SAC assumes no responsibility for such risks.

I accept that SAC is not responsible for loss of personal items.

I accept the $50 cancellation charge if cancelled by client less than 24 hours before lesson

Required

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