Registration

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THIS INTENSIVE IS ONE WEEK - MONDAY, JULY 10 - FRIDAY, JULY 14, 2023. Registration fee is $50.00 and the tuition fee will be $450.00 due on or before July 6th. All fees must be paid in full before the start of the intensive.

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

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Questions/Options:


Years of Dance Experience? *
Dance Studio?*

Additional Information:

Received BB Dream Big Intensive Details

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I've read the above and agree.

Acknowledgment of Risks

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Participant and Guardian (if Participant is a Minor) have reviewed the Paula Brown Performing Arts Center Program, the physical environmental conditions under which the Program will be conducted, and acknowledge that they are familiar with the activities that Participant may participate in while a Participant in the Program. The risks and hazards associated with Participant’s participation in the Paula Brown Performing Arts Center Program include, without limitation, theft of personal property, unexpected and/or uninvited contact with other participants, spectators, or other third parties; falls related to slippery surfaces, spilled liquids, collisions, tripping hazards, missteps, and other mishaps; flaws and defects in equipment; irregular floor and/or facility conditions; negligent floor and/or facility maintenance; negligent coaching and participation. Risks may be caused by Participant’s own action or inaction, the actions or inactions of other participants, the actions or inactions of spectators or other third parties, the condition of the facilities in which the Program takes place, including the risks of improper maintenance, neglect and dangerous physical conditions at facilities where the Program activities will occur and/or the negligence of the Paula Brown Performing Arts Center. Some risks cannot be predicted or controlled. There may be other risks and social and economic losses either not known to the Paula Brown Performing Arts Center, Participant or Guardian or are not readily foreseeable at this time. Participant and Guardian voluntarily assume all of these risks. Participant and Guardian (if Participant is a Minor) acknowledge that they understand and agree to participate in the Paula Brown Performing Arts Center Program despite these known and unknown risks. The potential injuries that could result from participation in the Program include, without limitation, broken bones, dismemberment, soft tissue damage, stress put on joints, muscles, and other body parts, torn muscles and/or ligaments, sprains, posture, hip and knee injuries, emotional distress, eye damage, cuts, wounds, scrapes, abrasions, and/or spinal injuries, shock, electrocution, paralysis, and/or death.

I've read the above and agree.

Assumption of Risk

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Release of Liability

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