Learn the basics of ballet through this class dedicated to elementary school age children ages 5 through 12. For new students only.
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
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
Additional Information:
General Release
Dance Theatre International, a California corporation, its agents, owners, members, volunteers, participants, employees, contractors, and all other persons or entities acting in any capacity on its behalf shall be referred to herein as Dance Theatre International. I am not a minor and I acknowledge that by being a participant in Dance Theatre International related activities, I will have the opportunity to participate in various physical activities. I expressly agree and promise to accept and assume the risk of all injuries and damages, including all related costs thereof that occur during or in connection with my participation in any and all Dance Theatre International related activities. My participation is purely voluntary, and I elect to participate in spite of risks. It is my responsibility to seek my physician's advise before participating in such activities. In consideration of the services of Dance Theatre International, I on behalf of myself forever discharge, and expressly agree to indemnify and hold harmless Dance Theatre International from any and all liability, claim, duty, obligation, demand or cause of action relating to or in any way connected with my participation in any and all Dance Theatre International related activities, whether presently known or unknown, suspected or unsuspected, including, without limitation, any such claims that allege negligent acts or omissions of Dance Theatre International. I have adequate insurance to cover any damages I may cause or suffer with participating in dance or other Dance Theatre International related activities. In the event my insurance does not cover any such damages, I agree to bear the costs of such damages alone.
I've read the above and agree.
Use of Student/Parent Images
I hereby grant permission to Dance Theatre International to make movies, videos, and photographs of my involvement in any and all Dance Theatre International related activities and to use them for promotional and commercial purposes without any notice, recourse, or compensation to me.
I've read the above and agree.
School Policies
- Participating students must be registered for the Community Outreach class before taking the class.
- DTI is only responsible for students during their registered class time.
- Students under the age of 5 must have a parent or guardian in the DTI waiting room during class.
- No gum or jewelry in class.
- All persons keep the waiting room noise and distraction free for students in class.
-DTI reserves the right to cancel enrollment of disruptive or belligerent persons without refunds.

I've read the above and agree.
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