2024 Summer Workshop Pre-Registration Form

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Please fill out this form if you wish to register your child for the Summer Workshop on Saturday. Registrations are first come first served. After your registration is processed payment INFORMATION WILL BE GIVEN.

Child's Name and Last Name *

Child's Date of Birth *

YYYY

Parent's Name and Last Name *

Phone number *

Email Address *

Home Address *

Emergency Contact (Name, Phone #, Relationship to child) *

Do they have any dance experience? if so, how long *

Any food Allergies? if so, specify. *

Yes

Other:

Does your child have any disability? *

Yes

Other:

Please select the workshop you are interested in *

Ballet (Saturdays 9:00am - 9:45am) $100 per session

Ballet and Music (Saturdays 9:00am - 10:30am) $170 per session

Required

Please select the session(s) you would like your child to participate *

TODDLER: June 1ST to June 22ND (ages 2.5 to 4) SATURDAYS

TODDLER: June 29nd to July 20th (ages 2.5 to 4) SATURDAYS

MK1: June 15th to July 6th (ages 4 to 6) SATURDAYS

Required

I understand packages are "as is" and there is no discount nor tuition can be prorated for missing classes or starting in the middle of the session. *

I accept this terms

Required

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. *

I accept these terms

Required

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