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 video audition including a link to complete your registration 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:
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Family Information
First Name:
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Last Name:
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Relation to Student
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Work #:
Email:
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City:
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Non-Binary
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
Academic School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Injuries (Leave blank if NONE):
Illness (Leave blank if NONE):
Ethnicity:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Non-Binary
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
Academic School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Injuries (Leave blank if NONE):
Illness (Leave blank if NONE):
Ethnicity:
Add New Student #3:
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Student's First Name:
*
Last Name:
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Student Gender:
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Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Academic School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Injuries (Leave blank if NONE):
Illness (Leave blank if NONE):
Ethnicity:
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Academic School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Injuries (Leave blank if NONE):
Illness (Leave blank if NONE):
Ethnicity:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Academic School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Injuries (Leave blank if NONE):
Illness (Leave blank if NONE):
Ethnicity:
Additional Information:
COVID EVENT POLICY
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Philadelphia Ballet requires that all guests be fully vaccinated with the primary series and up to date with vaccination booster doses in order to participate in events. Mask wearing is currently optional for fully vaccinated and up to date guests but is conditional on city mandates based on level of transmission at the time of the event.
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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Audition fees are non-refundable and non-transferable. The School of Philadelphia Ballet is not liable or obligated in any way to process any refunds or issue any credits.
I've read the above and agree.
PHOTO CONSENT
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I hereby consent to and authorize the use and reproduction by Philadelphia Ballet and The School of Philadelphia Ballet of any and all photographs, recordings, videotapes and/or other reproductions of my child's likeness for any purpose, whatsoever, without compensation. All images shall constitute the property of Philadelphia Ballet and the School of Philadelphia Ballet, solely and completely. Further, I assign and release all rights to said images and authorize Philadelphia Ballet, or others authorized by them, to exhibit, broadcast, and/or distribute or otherwise further reproduce said images in whole or in part over or in any medium whatsoever, including newsletters, radio, newspapers, film, cable and television.
I've read the above and agree.
MEDICAL CONSENT & LIABILITY WAIVER
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I am aware that dance and the nature of the training and performing associated with The School of Philadelphia Ballet place unusual stress on the body and carry with them the risk of physical injury. I shall indemnify, hold harmless and defend Philadelphia Ballet, its officers, boards, agents and employees, against any and all claims, actions, or suits brought for damages or alleged damages, and from all liability, loss and expense, including reasonable legal expenses, resulting from any injury to person or property or from loss of life sustained by my child while a student at the School of Philadelphia Ballet or while he/she is fulfilling a role in any Philadelphia Ballet production or event in which he/she has been invited to participate on or about Philadelphia Ballet premises or other venue where such activity is taking place including remote learning/online platforms.
I've read the above and agree.
AUTHORIZATION FOR SUBSTITUTED CONSENT & EMERGENCY
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I hereby grant permission to the Director of the School of Philadelphia Ballet or anyone designated by the Director, and to those persons listed below as emergency contacts to authorize emergency medical or surgical treatment, including, but not limited to, blood or blood product transfusions, diagnostic procedures, and the administration of anesthesia, for student where medically appropriate in case of injury, accident, or illness: subject, however, to the following limitations (if none, so state): This authorization is given for the benefit of student. The authorization given to the Director is given with the understanding that the Director, or the Director's designee, (l) will act only in my absence, and (2) will act only until such time as I or my spouse or the student's legal guardian or the persons designated below can be contacted. I understand that the medical appropriateness of such treatment shall be determined by the attending physician or by the medical facility's medical staff, and that such a determination shall be conclusive evidence of the reasonableness of the consent given. I agree to hold the Director, anyone designated by the Director of The School of Philadelphia Ballet and any employees, officers and directors of harmless from liability arising from any and all medical treatment, or complications arising there from, rendered as a result of consent given pursuant to this authorization.
I've read the above and agree.
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