|
|
|
|
| | |
|
|
We are excited to to have Madison Ford back with us for a week of Jazz. This week will focus oh choreography. Limited space so register early.
** DATES: Monday, September 28 - Friday, October 2, 2020
** TIME: 6:30p-8:30p
** STUDENTS: Recommended for ages 10 and up with a minimum of 3 years training
** COST: $200
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Student Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Additional Information: |
|
| | | |
|
Pandemic
(Show-Hide Details)
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies have put in place recommended social distancing, occupancy restrictions and guidelines for businesses to follow. Durham School for Ballet & the Performing Arts has put in place preventative measures to reduce the spread of COVID-19 by implementing all recommendations from North Carolina state officials.
I've read the above and agree.
|
|
|
Screening
(Show-Hide Details)
DSBPA will screen everyone for COVID-19 symptoms before admittance to the building. DSBPA is taking every precaution to screen those entering the building, however, COVID-19 has been proven to be asymptomatic in some persons. Therefore, DSBPA cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending DSBPA events could increase your risk and your child(ren)'s risk of contracting COVID-19.
I've read the above and agree.
|
|
|
Acknowledge
(Show-Hide Details)
I, the responsible party, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and we may be exposed to or infected by COVID-19 by attending DSBPA and that such exposure or infection may result in personal injury, illness, permanent disability, and death.
I've read the above and agree.
|
|
|
Symptoms
(Show-Hide Details)
I, the responsible party, agree that prior to entering the DSBPA building my child or myself DO NOT exhibit any of the following new or worsening signs or symptoms of possible COVID-19, not limited to and including: A temperature greater than ^100.4 degrees Fahrenheit, ^runny nose, ^cough, ^fatigue, ^shortness of breath, difficulty breathing or other respiratory symptoms, ^chills, ^repeated shaking with chills, ^muscle pain, ^sore throat, ^vomiting, ^diarrhea or ^new loss of taste or smell. I also agree that, to my knowledge, my household has not had close contact with a person who is lab-confirmed to have COVID-19.
I've read the above and agree.
|
|
|
Indemnification
(Show-Hide Details)
I, the responsible party, 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 DSBPA. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless DSBPA, its instructors, 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 DSBPA, its contractors, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any DSBPA program.
I've read the above and agree.
|
|
|
Photo Waiver
(Show-Hide Details)
I, the undersigned responsible party, hereby grant permission to DSBPA to use and/or reproduce photographs of my child for use in any legal manner, and for the use in promotional information to be distributed internally and externally regarding DSBPA. I understand that by signing this release, I waive any, and all future compensation rights to the use of the above stated material/s.
I've read the above and agree.
|
|
|
Emergency Release
(Show-Hide Details)
I have read and agree to Durham School for Ballet & the Performing Arts policies (above), and understand that I hereby release DSBPA, its contractors, volunteers, and agents from any and all liability, cost/expense associated with any injury or illness my child may sustain while participating in any of the programs. In case I cannot be reached in an emergency, I give my permission to DSBPA to call for Emergency Medical Services (911) and/or to select a physician to secure proper treatment for the student.
I've read the above and agree.
|
|
|
Payment
(Show-Hide Details)
Payment is due in full at the time of enrollment.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
|
Credit Card Verification: |
|
|
|
|
|
Card Number: * |
|
|
|
Name as it appears on card: * |
|
|
Nickname:
|
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
Address Line 1:
|
Address Line 2:
|
|
City:
|
State:
Zip:*
|
| | | |
|
Please Wait...
|
|
| |