Registration

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North Texas Conservatory welcomes you to join us! Please complete the following registration form and contact our office with any questions. We look forward to having you as a part of our NTC family!

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
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Additional Info

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Required Policies and Agreements
I acknowledge that this Accident Waiver and Release of Liability (AWRL) form
will be used by North Texas Conservatory and Ballet North Texas and the sponsors of the event in
which I or my student may participate and it will govern my actions and responsibilities
at aid event.

I hereby take action for my student, my executors,
administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, release,
and discharge from any and all liability for my student’s illness, death, disability, personal
injury, property damage, property theft or actions of any kind which may hereafter accrue
to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR
PERSONS: North Texas Conservatory/Ballet North Texas and any of its faculty, staff, employees, members, assistants, agents, representatives, volunteers or any persons representing the entities. Anna Sessions, Hannah Kleimeyer, and their directors, officers, employees,
volunteers, representatives and agents, (B)
indemnify and hold harmless all entities or persons mentioned in this paragraph from any
and all liabilities or claims made by other individuals or entities as a result of my actions
during this event.

I hereby consent to receive medical treatment that may be deemed advisable in
the event of injury, accident, and/or illness during this event.

This AWRL shall be construed broadly to provide a release and waiver to the
maximum extent permissible under the applicable law.
I hereby certify that I have read this document and I understand its content.

I understand that at this event or related activities I or my student(s) may be photographed or filmed. I agree
to allow my photo, video, or film likeness to be ONLY used for any legitimate purpose by the
North Texas Conservatory and Ballet North Texas, producers, sponsors, organizers, and/or assigns.

I hereby agree and consent to North Texas Conservatory and Ballet North Texas' 30 day cancellation policy for any classes or events I or my student(s) participate. I have reviewed and understand the following policy.

I must submit a filled out cancellation form to the NTC/BNT office 30 days prior to the date I wish to discontinue services. If submitted after the 1st of the month, I will be billed for the following month.

I hereby agree and consent to the following payment policy for North Texas Conservatory and Ballet North Texas. I have reviewed and understand the following payment policy.

I consent to pay monthly and miscellaneous fees associated with my student(s) classes, events or event participation. My payments will be billed to my account and charged to the card on file. I agree to pay all fees due and billed by the NTC/BNT Office on time. If resigning from classes, events or participation, I agree to pay in full all fees associated with such participation as billed by the NTC/BNT Office.

I Agree to All of the Above
Questions or Concerns
Payment Information
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