Master - Chapter 17, 24-25 Aerial Cirque Registration

Are you dancing with us for the first time in the upcoming season?*

Nope, I'm back!Yes, I'm very excited!

How Did You Hear About Us?

Who Are We Giving A Referral Credit To?

Full Name of Dancer and/or Guardian who referred you to LDC

Parent / Guardian (Primary Contact)*

First NameLast Name

Phone Number*

.

Email*

A copy of this agreement will be sent to this email address.

Additional Contact Email

Is there another person that should also receive information about this dancer and their participation at LDC?

Dancer's Name

First NameLast Name

Dancer's First Name*

Dancer's Last Name*

Dancer's Date of Birth*

Date

Dancer's Email

As Applicable

Please list any medical conditions, chronic or recent injuries or allergies that we should know about.

Choose your Chapter 17 Aerial Cirque Adventure!*

Spring 2025 | 6-8 Week Session

Little Cirque - Tuesday 4:15-5:00pm [SPRING 2025] Product Image

Little Cirque - Tuesday 4:15-5:00pm [SPRING 2025]SPRING 2025 | 8 WEEK SESSION - APR 8 - MAY 27, 2025

$288.00CAD

Aerial Cirque (6-10) | Tuesdays 5:00-6:00pm [SPRING 2025] Product Image

Aerial Cirque (6-10) | Tuesdays 5:00-6:00pm [SPRING 2025]SPRING 2025 | 8 WEEK SESSION - APR 8 - MAY 27, 2025

$288.00CAD

Aerial Cirque (8-12) | Mondays 5:00-6:00pm [SPRING 2025] Product Image

Aerial Cirque (8-12) | Mondays 5:00-6:00pm [SPRING 2025]SPRING 2025 | 6 WEEK SESSION - APR 7 - MAY 26, 2025 (no class Apr 21 or May 19)

$216.00CAD

Aerial Cirque (Adult Beginners) | Mondays 8:00-9:00pm [SPRING 2025] Product Image

Aerial Cirque (Adult Beginners) | Mondays 8:00-9:00pm [SPRING 2025]SPRING 2025 | 6 WEEK SESSION - APR 7 - MAY 26, 2025 (no class Apr 21 or May 19)

$216.00CAD

Little Cirque | 3-5 Years (must be 3 by 12/31)

Little Cirque - Tuesday 4:15-5:00pm [SPRING 2025]SPRING 2025 | 8 WEEK SESSION - APR 8 - MAY 27, 2025

$288.00CAD

Aerial Cirque | 6-10 Years

Aerial Cirque (6-10) | Tuesdays 5:00-6:00pm [SPRING 2025]SPRING 2025 | 8 WEEK SESSION - APR 8 - MAY 27, 2025

$288.00CAD

Aerial Cirque | 8-12 Years

Aerial Cirque (8-12) | Mondays 5:00-6:00pm [SPRING 2025]SPRING 2025 | 6 WEEK SESSION - APR 7 - MAY 26, 2025 (no class Apr 21 or May 19)

$216.00CAD

Aerial Cirque | Adults 'The Gravity Defiers'

Aerial Cirque (Adults) | Mondays 8:00-9:00pm Product Image

Aerial Cirque (Adults) | Mondays 8:00-9:00pm2025 FULL: JAN 6, 2025 - MAY 26, 2025 | class is 50min long, times above includes setup, cleanup & rigging

$543.00CAD INSTALLMENT OPTION

Aerial Cirque (Adult Beginners) | Mondays 8:00-9:00pm [SPRING 2025]SPRING 2025 | 6 WEEK SESSION - APR 7 - MAY 26, 2025 (no class Apr 21 or May 19)

$216.00CAD

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Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Total incl. GST

Primary Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

WASHROOM ASSISTANCE - Applicable to dancers under the age of 6 ONLY

Parent/guardian(s) of a dancer under the age of 6 that require assistance with going to the washroom MUST sign permission in order to receive help from a member of The Landing Dance faculty or administrative staff. By checking this box and signing below, you, the parent/guardian of said enrolled dancer, authorize a member of The Landing Dance Centre Faculty, Faculty Assistant or Administrative Staff to assist my dancer in the washroom while they are at the studio or at an event organized by the studio, should yourself or another parent/guardian be unable to assist.

PST EXEMPTION - Applicable to dancers age 14 and under ONLY

By checking this box, you are confirming that your dancer is 14 or under as of the registration date. Dancers ages 15 years and older as of the date of registration are subject to PST on year-end performance costumes ONLY.

SIBLING DISCOUNT - Do you have a sibling that is registered for the 24-25 Season?

By checking this box, you are confirming that a sibling in the same household has registered for the 24-25 Season and you'll receive a sibling discount of $62 + gst on this registration. The sibling discount will be applied to the last installment.

Current LDC Dancer - Sibling's Name

First & Last Name of Sibling in same household.

EMERGENCY CONTACT INFORMATION - Please provide a contact outside of primary guardian(s).

Do you need to update your dancer's emergency contact information?

Name of Emergency Contact

First NameLast Name

Contact Number for Emergency Contact

Emergency Contact Relation to Dancer

Click here to review the promotional media waiver.

PST Exemption Not Applicable

Technique Only Class

Payment Methods*

If you are new to LDC, you do not need to create your Jackrabbit Parent Portal account. LDC's Dancer Success Team will reach out with your account information. Please allow up to 3 business days. Thank you.

Commitment*

Promotional Media Waiver

Landing Littles & Progressive Performance Classes Training Etiquette & Policies

Collaboration*

Terms & Conditions and Liability Waiver*

By signing here, I am acknowledging that I understand the conditions of this form :*

Signature

Dated:*

24-25 Dance Season | Season 17 Registration

Dancer Information

Drop-In Classes for Adults

Additional Dancer Information