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INDUSTRY XPERIENCE IS COMING TO NSD! This convention is August 31st to September 1st. Regardless of studio affiliations, Industry Xperience opens its arms to all, allowing everyone the ability to train with our professional faculty. NSD studios will be transformed, as Industry Xperience takes over and brings unsurpassed energy through its branded, first-rate, exclusive events. Participants leave with a higher knowledge in all aspects of the entertainment industry and a renewed excitement for what their future holds. - IX EVENTS INCLUDE - Convention-style classes in many dance forms including: Ballet, Jazz, Tap, Contemporary, Musical Theatre, Hip-Hop, Lyrical, Improvisation, and more! On-Camera Commercial Acting for dancers. Audition/Resume workshop. Swag Store..."Swag you can sweat in!A Full-Scale Showcase at the end of the event. Entertainment Industry Question & Question & Answer session.
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Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
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Student's First Name:
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School:
Grade Level:
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10th grade
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12th grade
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Student Gender:
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Birth Date:
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Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
Medications, Leave Blank if None:
Primary Doctor:
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Student's First Name:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
Medications, Leave Blank if None:
Primary Doctor:
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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
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
Medications, Leave Blank if None:
Primary Doctor:
Add New Student #5:
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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
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilites, Leave Blank if None:
Allergies, Leave Blank if None:
Medications, Leave Blank if None:
Primary Doctor:
Questions/Options:
Will you be attending BOTH days?
Yes
No
If only attending 1 day, WHICH DAY will you be attending?
Additional Information:
Payment
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I understand that my credit card on file will be processed for payment prior to the event.
Refunds: $50 admin fee for all processed refunds. No refunds within 5 days of event.
I've read the above and agree.
Waiver of Liability
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Each individual is participation at their own risk. If you are 21 or older, you alone may sign that you understand this risk, however if under 21, a legal parent of guardian must sign. I agree to indemnify and hold harmless Northwest School of Dance and it owners, officers, and employees from any damage or loss arising our to the individual's participation with said organization, whether inside or outside the studio facility, or at an offsite location. I recognize the risk of illness and injury inherent in any dance exercise program and therefore waive and release Northwest School of dance from any and all claims, cost, liabilities, expenses, judgments including attorney's fees and court costs that may arise out of my participation with Northwest School of Dance. I understand that in signing below, this hold harmless also extends to any person involved/associated with my child such as parents, chaperones, guardians, grandparents, ect., whom may be responsible for the child specified on this form on any particular day or circumstance.
I've read the above and agree.
Medical Release
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I, who by law may do so, authorize the administration of emergency medical treatment to myself, my son, or my daughter, who is subject to this form. I understand all reasonable safety precautions will be taken at all times by Northwest school of Dance and its agents to avoid accident, injury, and disease, and therefore, I will not hold Northwest School of Dance and its agents liable for any accident, injury, or disease incurred by subject of this form. I understand that if the event of medical intervention is needed, every attempt will be made to contact the person(s) above immediately.
I've read the above and agree.
Right to Publicize
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With my signature, I also give permission to Northwest School of Dance to use any production photos and/or video of myself or the child specified on this form for advertising purposes. At time I may choose to opt out of allowing Northwest School of Dance to use said photos or videos by submitting a written letter of request. In addition, I understand that Northwest School of Dance reserves all rights to any and all pictures and choreography to Northwest School of Dance. I agree not to broadcast, publish, upload, copy or perform in public any such photos or choreography, in part or in whole, without the express written consent of Northwest School of Dance owners.
I've read the above and agree.
Covid 19 Exposure & Protocol
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I understand that NSD may require health and safety screening prior to participation (including temperature check, contact, exposure, and symptoms questions) and may require masks to be worn during the event and I agree to comply.
I acknowledge that I am aware of the contagious nature of the Coronavirus/Covid-19.
I understand that NSD is permitting individuals to enter the premises and that there is a possibility of exposure to Covid-19 if I/my child(ren) choose to participate in-person. I further acknowledge that NSD has put in place preventative measures to reduce the spread of Coronavirus/Covid-19. I further acknowledge that NSD cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/Covid-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to NSD staff, other NSD clientele and their families. I voluntarily seek the services provided by NSD and acknowledge that I am increasing my risk to exposure to the Coronavirus/Covid-19. I acknowledge that I must comply with all set procedures to reduce the spread while on NSD premises.
I attest that: *I am not experiencing any symptoms of illiness, such as cough, shortness of breath, fever, sore throat or other symptoms associated with the Coronavirus/Covid-19. *I have not travelled internationally within the last 14 days. *I have not traveled to a highly impacted area within the United States in the last 14 days. *I do not believe that I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/Covid-19. I hereby release and agree to hold NSD harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of NSD, or that may otherwise arise in any way in connection with any services received from NSD. I understand that this release discharges NSD from any liability or claim that I, my heirs, or any personal representatives may have against NSD with respect to any bodily injury, illness, death, medical treatment or property damage that may arise from, or in connection to, any services received from NSD. This liability waiver and release extends to NSD together with all owners, partners, and employees.
I've read the above and agree.
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2024
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GA
HI
IA
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KS
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LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
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UT
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