EmailMe Form - Adult Summer Intensive Advanced

Name

First Last

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Training Background *

Pointe Experience *

Yes

No-Participants MUST have prior pointe expericence for pointe class

Emergency Contact Name *

First Last

Emergency Contact Phone *

### - ### - ####

Acknowledgements *

I underdtand this is a five-day intensive and I am prepared to attend all sessions

I understand the $50 registration fee is applied to tuition. All payments are non-refundable

Waiver and Release of Liability

I acknowledge that participation in ballet and dance training involves physical activity and carries inherent risk of injury.

I voluntarily assume all risks associated with participation in the North Central Ballet Adult Summer Intensive. I release and hold harmless North Central Ballet, its directors, faculty, and staff from any and all claims arising from participation in this program.

I have read and agree to the above policies and waiver. *

Yes, I agree

Signature - By signing below, I acknowledge that I have read and understand the program information, policies, refund terms, and waiver of liability for the North Central Ballet Adult Summer Intensive.

I agree to abide by all studio policies and accept full responsibility for my participation. *

Clear