Summer 2021 Intermed / Adv Intensive ages 7-12 - June 28–July 2
Summer Intensive for Intermediate to Advanced students, ages 7-12. June 28–July 2. From 10AM–3PM for 8-12 year olds, and 10-1 for 7 year olds. $350/week for one week. COMPANY MEMBERS pay $200/week. By approval only; please email photos of you in a Tendu à La Seconde and First Arabesque on relevé or en pointe, as applicable, to bam@bamsocal.com.
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Emergency Contact Name & Phone Number *
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STUDENT INFO: Name, Age, Gender *
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Years of Training *
Are you also a student at ABT Gillespie? *
LIABILITY WAIVER
SAFETY INFORMATION:

While participating in events held or sponsored by Ballet Academy & Movement ("BAM") “social distancing” must be practiced and face coverings worn at all times to reduce the risks of exposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainly from person-to-person contact, BAM has put in place preventive measures to reduce the spread of COVID-19. However, BAM cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19.

In light of the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in BAM classes or events and/or other face to face activities. By attending a BAM class or event, you certify that you do not fall into any of the following categories:  

(1) Individuals who currently or within the past fourteen (14) days have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among others;
(2) Individuals who have traveled at any point in the past fourteen (14) days, either internationally or to a community in the U.S., that has experienced or is experiencing sustained community spread of COVID-19; or  
(3) Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment.

STUDIO COMPLIANCE:

I understand and agree that I must come to the studio dressed for class and may not use the studio dressing rooms at Ballet Academy & Movement, until further notice.

I understand that I may not enter the studio without a temperature check.

I understand that I must use hand sanitizer before entering the studio (we provide).

I understand that I must wear a mask at all times within the studios and maintain a minimum of 6 feet distance from all individuals in the studio.

I understand that no students' parents may enter the studio. Parents must drop off and pick up their child(ren) outside in the parking lot.

DUTY TO SELF-MONITOR:

Participants and volunteers agree to self-monitor for signs and symptoms of COVID-19 (symptoms typically include fever, cough, and shortness of breath), to email BAM at bam@bamsocal.com immediately if he/she experiences symptoms of COVID-19 within 14 days after participating at or volunteering with BAM, and to not attend BAM classes or events for the full 14 days and exhibiting no further signs or symptoms of COVID-19.

RELEASE AND WAIVER:

I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST BALLET ACADEMY & MOVEMENT ("BAM") AND ITS AFFILIATED PARTNERS AND SPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTOR, EMPLOYEES, VOLUNTEERS, AND AGENTS (THE “RELEASED PARTIES”), EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATION WITH THE ACTIVITY.
ASSUMPTION OF THE RISK.

I acknowledge and understand the following:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;

2. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties; and

3. I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.

MEDICAL ACKNOWLEDGMENT AND RELEASE. I acknowledge the health risks associated with the Activity, including but not limited to transient dizziness, lightheaded, fainting, nausea, muscle cramping, musculoskeletal injury, joint pains, sprains and strains, heart attack, stroke, or sudden death. I agree that if I experience any of these or any other symptoms during the Activity, I will discontinue my participation immediately and seek appropriate medical attention.  I DO HEREBY RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAY HEREAFTER ARISE ON ACCOUNT OF ANY FIRST AID, TREATMENT, OR SERVICE RENDERED IN CONNECTION WITH MY PARTICIPATION IN THE ACTIVITY.

As a participant, volunteer, or attendee, You recognize for you of your child(ren), that the participation of,  involvement and/or attendance at any Ballet Academy & Movement ("BAM") event or activity (“Activity”) is voluntary and may result in personal injury (including death) and/or property damage. By attending, observing or participating in the Activity, You acknowledge and assume all risks and dangers associated with you or your child(ren)'s participation and/or attendance at the Activity, and You agree that: (a) Ballet Academy & Movement ("BAM"), (b) the property or site owner of the Activity, and (c) all past, present and future affiliates, successors, assigns, employees, volunteers, vendors, partners, directors, and officers, of such entities (subsections (a) through (c), collectively, the "Released Parties"), will not be responsible for any personal injury (including death), property damage, or other loss suffered as a result of your or your child(ren)'s participation in, attendance at, and/or observation of the Activity, regardless if any such injuries or losses are caused by the negligence of any of the Released Parties (collectively, the "Released Claims").  

BY ATTENDING AND/OR PARTICIPATING IN THE ACTIVITY, YOU ARE DEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.

PHOTO/VIDEOTAPE RELEASE:

I, as Self (if over legal age), or as the parent or legal guardian of the student(s) listed on this form, grant my permission to use the photographs or videotapes taken during Ballet Academy & Movement (hereinafter referred to as "BAM") classes and performances for any legal use, but not limited to: publicity, copyright purposes, illustration, advertising, social media, and web content. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Your Signature *
Please enter your full name to indicate that you have read, acknowledge, and accept the Liability Waiver section on this form.
Thank you!
Please email photos of you in a Tendu à La Seconde and First Arabesque on relevé or en pointe, as applicable, to bam@bamsocal.com. You will receive an email confirmation from Google Forms (you may need to look in your Spam folder). We will send you an invoice shortly. Please pay before the intensive begins.

Register for studio dance classes at https://forms.gle/p6h5ayfNFYeV3Bg37 View our website at www.BAMsocal.com or email us at BAM@BAMsocal.com. Follow us on Instagram and Facebook @BamBalletAcademy.
A copy of your responses will be emailed to the address you provided.
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