Dance NOW! Miami's World Dance Summer Intensive Registration. June 10-14, 2024
Registration Form for DNM World Dance Summer Intensive at Sanctuary of the Arts

You will receive a link to make fee payments once this form is processed. Cost for the World Dance Summer intensive is $300 including a $50 non-refundable registration fee. 

If you are interested in a scholarship or work-study, please email info@dancenowmiami.org BEFORE completing this registration form for further information on how to apply.

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Dancer's Name
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Dancer's Email Address  *
Gender*
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Date of Birth *
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Age *
Grade (your grade for next school year) *
Race/Ethnicity *
Address (Street, City, State, Zip Code) *
Primary Guardian's Name (Must be authorized to pick up dancer)
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Relationship to Dancer:
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Primary Guardian Cell Phone Number
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Primary Guardian Email
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Secondary Guardian's Name (Must be authorized to pick up dancer)
Relationship to Dancer:
Clear selection
Secondary Guardian Cell Phone Number
Secondary Guardian Email
Emergency Contact Name
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Emergency Contact Phone *
Is this contact authorized to pick up dancer?
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Does the applicant have a disability that requires an accommodation to participate in any of the activities in the previous question? (i.e.; sign language interpreter, braille materials, or other format) If so, please explain.
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Does the applicant have a past injury/medical condition that staff should be aware of? If so, please explain.
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Does the applicant have any allergies? If so, please list below.
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Please be advised that staff CANNOT administer medication.
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Required
**I give the Dance Staff permission to administer basic First Aid as required. *
Health Insurance Information: name of insured
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Health Insurance Information: insurance carrier
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Health Insurance Information: policy number
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Health Insurance Information: group number
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Health Insurance Information: expiration date
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I understand that my child will be supervised from 9:30 am to 5:00 pm. Before or after these hours I understand there may not be WDSI supervision.
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My child has consent to leave the Sanctuary of the Arts property at the end of the day at 5pm WITHOUT supervision
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Applicant grants the right for their child's image or likeness to be used for marketing or printing purposes associated with the promotion, marketing, and news story coverage of DNM, SOA, ICI activities
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I hereby authorize my child to participate in World Dance Summer Intensive and hereby waive, release, absolve, indemnify, and agree to hold harmless Dance NOW! Miami, Sanctuary of the Arts, and Inter-American Choreographic Institute; their employees, officials, officers, agents, agencies, departments, participants, persons transporting the participants to and from activities, and any other individual, group, organization, or corporation under contract with the listed entities for ANY claim arising out of an injury or death of my child, or damage to, or destruction of, or loss of, any property, as a result of his/her participation in any program or activity, including those injuries arising from negligence of the DNM, SOTA, and ICI, their employees and/or agents.
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Required
*PLEASE TYPE FIRST AND LAST NAME AS ELECTRONIC SIGNATURE* I hereby acknowledge that all the above information is true to the best of my knowledge and that I agree that my child and I will comply with the WDSI rules and regulations I will receive upon confirming registration.
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