Registration

Any Dancer who is participating in a Ballet Class, in a Preschool Dance/Tutu Cute, Tiny Dancer, Combo or Ballet Intensive or Ballet Technique Class may participate in the Elite Academy of Dance & Performing Arts “A Children’s Nutcracker”. The Baby Ballerina’s, Hip Hop & Musical Theater classes will open the Winter Performance. Dress Rehearsal will be Friday December 13th. The Performance will be on Saturday Afternoon December 14th beginning at 1:00 pm. Dancers will wear their Class Color Leotard, pink tights and correct shoes (Boys will wear Black Pants & white Dress Shirts) and we will supply any other costume pieces for the Dancers to use in the show. There is a $45.00 Participation Fee for an individual Dancer or $55.00 per family. This Fee includes 2 Tickets to the show and a DVD or Blue Ray.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
WAIVER OF LIABILITY
WAIVER OF LIABILITY

I have enrolled the above named student in a program of strenuous physical activity offered by Elite Academy of Dance and Performing Arts, LLC. I do hereby give permission for him/her to participate in any and all classes, programs and events offered by or attended by Elite Academy of Dance and Performing Arts, LLC. I hereby affirm that the above named person is in good physical condition and does not suffer from any disease or disability that would prevent participation in the programs offered at Elite Academy of Dance and Performing Arts, LLC. I understand that a physician should approve any form of physical activity. I accept all risks associated with or arising from the student’s participation in or at any class, program or event sponsored by Elite Academy of Dance and Performing Arts, LLC. and understand that claims for damages that I and/or my child might have now or in the future against Elite Academy of Dance and Performing Arts, LLC, its owners, members, directors, employees and/or assigned representatives (paid or volunteer) from any and all liability and for any and all damages and/or other injuries which may be sustained or suffered by the student listed above while participating at or for Elite Academy of Dance and Performing Arts, LLC. The risk(s) of such programs and related activities is fully understood.

I've read the above and agree.
 
INSURANCE AND/OR PERMISSION FOR TREATMENT


INSURANCE AND/OR PERMISSION FOR TREATMENT

My signature below indicates that I have medical coverage on the student listed above and will maintain continuous medical coverage during the time that he/she is a participant at Elite Academy of Dance and Performing Arts, LLC. I also authorize Elite Academy of Dance and Performing Arts, LLC., its members, owners, directors and/or employees to administer first aid procedures on the student listed above and to consent to any other medical procedure that is deemed necessary in the case of an emergency. I certify that I personally and/or my medical insurance carrier will be responsible for ALL expenses which are incurred in relation to any injury sustained during any related activity, including, but not limited to: classes, rehearsals, performances, studio activities, etc.

I've read the above and agree.
 
Participation Fee and DVD or Blue Ray
PARTICIPATION FEE AND CHOICE OF DVD OR BLUE RAY

There is a $45.00 Participation Fee for an individual Dancer or $55.00 per family. the Participation Fee is used to rent the facility and associated production costs. This Fee includes 2 Tickets to the show and a DVD or Blue Ray of the Performance.

Please choose DVD or Blue Ray below:

_______ DVD

_______ Blue Ray

I've read the above and agree.
 
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