Registration

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Please use this form to register for The Sarasota Ballet's 2024 Junior Summer Intensive.

Tuition: $500 per week *$100 non-refundable deposit, $50 registration fee. Non-refundable registration fee, deposits or full payment(s) will be charged using the card on file on the next business day. Balance of tuition and fees will be charged to the card on file on April 15th, 2024. TO CONFIRM YOUR REGISTRATION, please login to your newly created account: https://app.jackrabbitclass.com/jr3.0/ParentPortal/Login?orgID=523893 (copy&paste into your browser). After registration is complete, next communication will come in early April. General Intensive information including the handbook (guidelines, attire, schedules, etc.) will be distributed in late May.

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: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

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

Questions/Options:


Student age at start of junior intensive *
Height (in feet and inches)*
Current Dance School (Please list city and state where school is located)*
Years of ballet study*
Length of time on pointe? (please state by half years i.e. 1.5, 2.5, or .5) Write N/A if student is not on pointe yet. *
How many ballet classes do you take each week?*
Weeks you will attend: Be specific. Options: Week 1A- June10 - 14. Week 2A - June 17-21, 2024. Or both. Other date arrangements by special permission only*
Have you attended a summer intensive before? If so, please list dance school and year. *
Are you interested in learning more about the Sarasota Ballet School or our pre-professional program, the Margaret Barbieri Conservatory?
I would like to pay full tuition at this time. Amount will be processed next business day using the card on file.*
I would like to pay the non-refundable registration fee ($50)and tuition deposit ($100) ONLY at this time for a total of $150. Balance will be processed using the card on file on April 15, 2024*

Additional Information:

WAIVER OF LIABILITY

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In consideration for receiving permission to participate in dance classes, rehearsals, dance instruction, exercises and online classes associated with dance and or the use of any facilities under the care, custody and control of Sarasota Ballet of
Florida, Inc. and any of their affiliated or associated entities, I hereby release, waive, discharge and covenant not to sue
Sarasota Ballet of Florida, Inc., the Board of Trustees of Sarasota Ballet of Florida, Inc., their officers, agents, servants or
employees (hereinafter referred to as releasees) from any and all liability, claims, demands, actions, and causes of action
whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any of
the property belonging to me, whether caused by the negligence of the releasees, or otherwise, while participating in such
activity, while in, on or upon the premises where the activities are being conducted.
I am fully aware of the risks involved and hazards connected with the activities of dance classes, rehearsals, dance
instruction, exercises and equipment associated with dance, and I hereby elect to voluntarily participate in said activity with
full knowledge that said activity may be hazardous to me and my property. I voluntarily assume full responsibility for any
risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to
property owned by me, as a result of being engaged in such an activity, whether caused by the negligence of releasees or
otherwise.
To the best of knowledge, I am in good physical condition and am not aware of any physical infirmity which would place me
at risk in participating in any of the above mentioned activities.
I further hereby agree to indemnify and hold harmless the releasees from any loss, liability, damage, or costs, including
court costs and attorney fees that they may incur due to my participation in said activities, whether caused by negligence of
releasees or otherwise.
It is my express intent that this Waiver and Hold Harmless Agreement shall bind the members of my family and spouse, if I
am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a release, waiver,
discharge, and covenant not to sue the above-named releasees. I hereby further agree that this Waiver of Liability and
Hold Harmless Agreement shall be construed in accordance with the laws of the State of Florida.
In signing this agreement, I acknowledge and represent that I have read the foregoing Wavier of Liability and Hold Harmless
Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or
inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and
fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by
same.