Fermata Ballet Collective Registration Form
Hello,

Please fill out this form before you participate in your first in-person or virtual class, workshop, or event.

We look forward to dancing with you!

Fermata Ballet Collective
www.fermataballetcollective.com

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In-person classes for community members are $12. Discounts available for students, faculty, professionals, and flex families. *
Required
Which day/s do you plan to attend?
Dancer Name *
Email *
Phone Number
Ages 18+: I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury and, in rare circumstances, death. I agree to release and hold harmless all dance event leaders of the Fermata Ballet Collective, and Oregon Ballet Academy, Platform 360, and flex Studios, including its staff members, and facilities from any cause of action, claims, or demands now and in the future. I will not hold the dance instructor liable for any personal injury, which may occur on the premises before, during or after classes. Furthermore, I understand that I should be aware of my physical limitations and agree not to exceed them.   *
Required
Under 18 (to be acknowledged by parent/guardian): I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury and, in rare circumstances, death. I agree to release and hold harmless all dance event leaders of the Fermata Ballet Collective, Oregon Ballet Academy, Platform360, and flex Studios, including its staff members, and facilities from any cause of action, claims, or demands now and in the future. I will not hold the dance instructor liable for any personal injury, which may occur on the premises before, during or after classes. Furthermore, I understand that dancers should be aware of their physical limitations and agree not to exceed them. Parent/Guardian: please enter your name and contact info above with child's name. *
Required
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