Mini Summer Intensive Pre-Registration Form
Please fill out this form if you wish to register your child for the Mini Intensive. Registrations are first come first served. After your registration is processed, the payment of $225 can be sent via Zelle to Viscballet@gmail.com
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Child's Name and Last Name *
Child's Date of Birth *
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What session are you interested in? Please mark all that apply. *
Required
Parent's Name and Last Name *
Phone number *
Home Address *
COVID LIABILITY STATEMENT                                                    The health and safety of our students, parents, teachers, and staff are of the utmost importance to Vladimir Issaev School of Classical Ballet and Arts Ballet Theatre of Fl, so we will be adhering to the CDC's Covid-19 and Florida State guidelines.An inherent risk of exposure to Covid-19 exists in any public place where people are present. Vladimir Issaev School of Classical Ballet has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you will not become infected with COVID-19.By taking classes at VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA, you voluntarily assume all risks related to exposure to Covid-19 and will hold VISCB harmless from any liability of a lawsuit (if) sometime thereafter your child/the student contracts the Covid 19 virus. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I, my child, or anyone that accompanies me to any activity related to VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA, may be exposed to COVID-19. Such exposure or infection may result in personal injury, illness, permanent disability, and/or death. *
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Email Address *
Emergency Contact (Name, Phone #, Relationship to child) *
Do they have any dance experience? if so, how long
Any food Allergies? if so, specify.
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Does your child has any disability? *
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