2022 Summer Dance Intensive Registration
Please fill out this form to complete your registration for our Junior or Advanced Summer Intensive at the Moyer Institute of Dance
All classes will be taught by Sophie Moyer with the potential for a guest faculty member or 2 to be added.


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Email *
Junior Summer Intensive
Date: Thursday, June 23rd - Sunday, June 26th
Time: 9am - 1pm
Age: Entering 1st grade and above
Tuition: $210

Dancers will receive five 45 minute classes per day, with a 15 minute break for lunch.
Acro
Ballet
Contemporary/Lyrical
Hip Hop
Jazz
Leaps & Turns
Partnering & Improvisation
Tap

Team requirement*
Advanced Summer Intensive
Date: Thursday, June 23rd - Sunday, June 26th
Time: 4pm - 8pm
Age: 11+
Tuition: $210

Dancers will receive four 1 hour classes per day.
Acro
Ballet
Contemporary/Lyrical
Hip Hop
Jazz
Leaps & Turns
Partnering & Improvisation
Stretch & Strength

Team requirement*
Dancer's Full Name *
Dancers age at time of intensive *
Parent/Guardian Cell Phone(s) & Emergency Contact Information
Which Intensive are you registering for: *
Any current injuries, allergies or chronic health issues that may impact them at the intensive? *
Good To Know
WHAT TO WEAR:
Girls: a leotard & leggings or form-fitting dance pants
Boys: an athletic tank or t shirt & shorts or form-fitting dance pants
Footwear: ballet slippers, dance socks, sneakers, tap shoes. Tap shoes can be purchased here for a low price if needed:
https://www.dancewearsolutions.com/shoes/tap_and_character/b160.aspx
https://www.dancewearsolutions.com/shoes/tap_and_character/b150.aspx

WHAT TO BRING:
1. Water
2. A small snack (such as a granola bar)



Tuition & Payment Information
Tuition: $210

How to Pay:
1.  Venmo: @sophiecm
2. Check made payable to Sophie Moyer. Checks should be put in an envelope and placed in the tuition box inside the studio
3. Cash. Cash payments should be put in an envelope and placed in the tuition box inside the studio

Payment & Registration Deadline is Monday, June 6th, 2022

Release of Liability
Release of Liability Waiver

In consideration of my minor child/ward (“My Child”), being allowed to participate in any way in Sophie Moyer’s summer intensive program or Kitty Moyer’s program at the Moyer Institute of Dance, the undersigned acknowledges, appreciates and agrees that:

1. Dance is a vigorous sporting activity in a unique environment and, as such, poses a significant risk of injury. Dance and related activities always involve certain risks, including, but not limited to serious injury to bones, joints and muscles. The risk of such harm may be limited but will never be eliminated;

2. For myself, spouse and My Child, I knowingly and freely assume all such risks, both known and unknown, and even if arising from negligence of Sophie Moyer or Kitty Moyer, and assume full responsibility for My Child’s participation;

3. I willingly agree to comply with Sophie and Kitty’s standards and customary terms and conditions for participation in studio programs. If I observe any unusual and significant concern in My Child’s readiness for participation and/ or in the studio/competition program itself, I will remove My Child from participation and bring such issue to the attention of Sophie or Kitty immediately.

4. I, for myself, my spouse, My Child and on behalf of my/ our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE SOPHIE MOYER, KITTY MOYER, AND THE MOYER INSTITUTE OF DANCE (“Releases”) with respect to any and all injury, disability, death or loss or damage to personal property incident to My Child’s involvement or participation in studio/competition programs, whether arising from the negligence of the Releases or otherwise, to the fullest extent permitted by law, and I, for myself, my spouse, My Child and on behalf of my/ our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS AND COVENANT NOT TO SUE all above Releases, from any and all liabilities incident to participation and involvement in studio/competition programs, even if arising from the negligence of Releases, to the fullest extent permitted by law.




I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, AND SIGN IT VOLUNTARILY. Sign full legal name as E-signature below: *
For Competition Team Dancers Only - Do you plan to attend any "outside" intensives this summer (such as cpyb 2 weeks, etc.)? If so, please list below:
For Competition Team Dancers Only - Team Spirit Merchandise! Many have expressed wanting t-shirts or other team merch. Please list your thoughts on what you would like to see made available below:
A copy of your responses will be emailed to the address you provided.
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