Registration
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Pre-Registration for 2020 International Intensive Audition @ Minnesota Dance Theatre, Minneapolis, Minnesota
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
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Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Years of Dance Experience?:
*
Preferred pronouns:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Years of Dance Experience?:
*
Preferred pronouns:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Years of Dance Experience?:
*
Preferred pronouns:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Years of Dance Experience?:
*
Preferred pronouns:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Years of Dance Experience?:
*
Preferred pronouns:
Additional Information:
Liability Release
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Waivers Liability Release: I am aware that dancing and the exercises associated with it place unusual stresses on the body and carry with them the risk of physical injury. On behalf of my child and myself. I assume the risk and agree that The Sarasota Ballet of Florida, Inc. shall not be liable in any way for injuries sustained during attendance at The Sarasota Ballet School or any of its related functions. I grant my child permission to participate in The Sarasota Ballet School. I hereby release and discharge The Sarasota Ballet School, its agents, employees, executors, or administrators from any claims including all personal injuries caused by, or arising from, the above described activities, or any related activities.
I've read the above and agree.
Medical Release
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Further, I grant The Sarasota Ballet of Florida, Inc., The Sarasota Ballet School, its grants and employees, permission to authorize any emergency medical treatment that may be required for my child.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
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