SUMMER CAMPS 2020
Welcome to registration for Cristina Pora Classical Dance Academy's Summer Day Camps 2020. Please complete the following form to register.
Email address *
Which week(s) will your child/children be attending? *
Required
Child's Name *
Child's Age *
Date of Birth *
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DD
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Address *
Parent's Email Address *
Cell Number *
Any allergies, dietary restrictions, or medical information? *
TERMS AND AGREEMENTS
By submitting this form, I hereby grant permission for the above mentioned camper to participate in the Cristina Pora Classical Dance Academy Summer Day Camps and I certify this student is in good physical condition and is able to participate fully in this program. I release Cristina Pora Classical Dance Academy and its staff from all liability in case of accident or bodily injury. I understand that this Camp will be conducted in the safest possible manner by trained staff. By providing my email address, I consent to email communication with the Cristina Pora Classical Dance Academy and I understand that pictures and video of my child may be used on the school website, facebook and instagram page or for other forms of advertising for the studio.

COVID-19 Declaration Form and Release

COVID-19 Common Symptoms, as per The World Health Organization:
Fever
Dry Cough
Tiredness
Shortness of Breath

I understand the aforementioned COVID-19 symptoms.

I affirm that neither I, nor any member of my household, currently has or has experienced the aforementioned symptoms within the past 14 days. Furthermore, I will immediately inform Cristina Pora Classical Dance Academy and discontinue classes if I, or any member of my household, develops any of the aforementioned symptoms.

I affirm that neither I, nor any member of my household, has been diagnosed with COVID-19 within the past 30 days. Furthermore, I will immediately inform Cristina Pora Classical Dance Academy and discontinue classes if I, or any member of my household, is diagnosed with COVID-19.

I affirm that neither I, nor any member of my household, has knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days. Furthermore, I will immediately inform Cristina Pora Classical Dance Academy and discontinue classes if I, or any member of my household, is knowingly exposed to anyone diagnosed with COVID-19.

I affirm that neither I, nor any member of my household, has traveled outside of the country within the past 30 days. Furthermore, I will immediately inform Cristina Pora Classical Dance Academy and discontinue classes once I, or any member of my household, returns from traveling outside of the country.

I understand that the Cristina Pora Classical Dance Academy can not be held liable for any exposure to the COVID-19 virus caused by any misinformation on this form or the health history provided by each Student.
Do you agree to the above terms? *
Time Slot *
Required
Payment *
Please email cporadanceacademy@gmail.com for more information!
We are located at 2133 Royal Windsor Drive (Unit 13/14), Mississauga, Ontario. Please visit our website, www.poradanceacademy.ca or phone us at (905)-823-5150 for further inquiry.
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