Registration

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This audition for CBC Summer Intensive & Prix Challenge 2024 will be held at the Cary Ballet Conservatory in Studio C from 11:30-1pm.
Please arrive early with full ballet attire. If you have any questions before the audition please contact the CBC office: office@caryballet.com

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Questions/Options:


Will your dancer be attending this audition in person? (If no, a zoom code for the audition will be emailed to you after payment is received)*
Age at start of intensive (June 24):*
Gender (M/F)*
Height:*
Please mark which Intensive Session you are applying for:	(checked=yes)
Session A: (2 weeks) 6/24-7/6	(checked=yes)
Session B: (3 weeks) 7/8-7/27	(checked=yes)
Session C (5 weeks) :6/24-7/27	(checked=yes)
Session PC: (Prix Challenge, 2 years of Pointe): 7/29-8/3	(checked=yes)
Session D: (Full summer) 6/24-8/3	(checked=yes)
Are you interested in housing?*
If yes, please indicate which Session you would like housing.
Years of Ballet training:*
Years on Pointe:*
Current hours of class per week of Ballet:*
Summer Intensive attended 2023 (Place and level):
Current Dance School (City & State) :*
Names of Director & present teachers:*

Additional Information:

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Visual Representation

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Liability

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Covid-19

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Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to be spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Cary Ballet Conservatory has put in place preventative measures to reduce the spread of COVID-19; however, the Conservatory cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the school could increase your risk and your child(ren)'s risk of contracting COVID-19. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Conservatory and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Conservatory may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Conservatory employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at the Conservatory or participation in Conservatory programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Conservatory, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Conservatory, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Conservatory program.

I've read the above and agree.

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