Registration

Registration

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Thank you for your interest in the School of Philadelphia Ballet 2022-2023 school year. The $45 audition fee will be charged when your submission is received. Further information about your in-class audition will be delivered via email. Please be reminded that SPB students must be fully vaccinated and up to date on booster doses. At this time, the School of Philadelphia Ballet does not issue student visas.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Relation to Student*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Additional Information:

COVID EVENT POLICY

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I've read the above and agree.

COVID LIABILITY WAIVER

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ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19:

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Philadelphia Ballet has put into place preventive measures to reduce the likelihood of spread of COVID-19. However, PB cannot guarantee that you or your child (the "Student") will not be exposed to COVID-19 while on PB's premises. By agreeing to this waiver, you understand the risk and contagious nature of COVID-19. By signing this release, you acknowledge the risk of COVID-19 transmission to you or your child by attending the School of Philadelphia Ballet ("SPB") or otherwise visiting PB's premises. This exposure may result from the actions, omissions, or negligence of PB and others, including but not limited to, faculty, staff, and other students and their families. You further agree that you and your child will comply with all protective measures and protocols implemented by PB and/or established by the CDC and the Commonwealth of Pennsylvania.

READ CAREFULLY AS EXECUTION OF THIS FORM WILL WAIVE LEGAL RIGHTS:

By accepting this agreement, you acknowledge that:
I understand that PB has implemented enhanced safety and sanitation protocols in response to COVID-19. I further acknowledge and understand that, even in light of these procedures, there is still a risk that I or my child attending SPB may be exposed to and/or contract COVID-19 while on PB's premises. I also acknowledge that due to their physical nature, dance programs may carry a greater risk than other activities of exposure to COVID-19. Even when all reasonable precautions are taken, there is an unavoidable risk of exposure to COVID-19.

I knowingly and voluntarily agree to assume all the risks of any COVID-19 exposure and accept sole responsibility of any infection (including but not limited to personal injury, disability, and death) or expense of any kind, that I or my child may experience or incur due my child's participation in the SPB program and/or use of PB's facilities.

Student and his/her assignees, heirs, parents, guardians, and legal representatives hereby voluntarily release, forever discharge, and hold harmless PB and each of their officers, trustees, employees, faculty, staff, students, agents, representatives, or groups affiliated therewith (collectively, the "Released Parties") from any liability, claims, or causes of action of whatever nature, arising from or related to exposure to COVID-19 for any reason whatsoever to the fullest extent permitted by law, including without limitation any liability, claims, or causes of action based on the actions, omissions, or negligence of the Released Parties.

I understand that any COVID-19 infection (whether it occurs before, during, or after participation in the program) and any related claims will not be directed to the Released Parties. By signing this release, Student and his/her assignees, heirs, parents, guardians, and legal representatives waive the right to bring any legal action against the Released Parties now or at any time in the future to recover compensation or obtain any other remedy for any injury to Student or Student's property caused by COVID-19 or COVID-19-related procedures and arising out of or related to his/her participation in the program.

In addition, I understand that this release is intended to be as broad and inclusive as the Commonwealth of Pennsylvania will allow and that if any portion is held invalid, agrees that the balance shall, not withstanding, continue in full force and effect .

I've read the above and agree.

AUDITION FEES

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PHOTO CONSENT

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I've read the above and agree.

MEDICAL CONSENT & LIABILITY WAIVER

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I've read the above and agree.

AUTHORIZATION FOR SUBSTITUTED CONSENT & EMERGENCY

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I've read the above and agree.

Enter your Full Name:

*

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:*