Placement/Audition Class Information

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Please fill out the information below and remit payment before your child's scheduled audition.

Email *

Student Name: *

Age: *

Date of Birth: m/d/year *

YYYY

Parent 1 Name: *

Parent Phone Number (xxx-xxx-xxxx):

Parent 1 Email Address: *

Parent 2 Name:

Parent 2 Email Address:

Mailing Address: *

Previous Training *

I am interested in: *

Summer

Academic Year

Required

I understand and agree to the following. (Please check the following):
*

Placement/Audition class is at studio

I will pay a fee based on the length of the class or session.

No refund will be made for missed classes. We will make every effort to reschedule.

RELEASE: As additional consideration for the student’s instruction, the undersigned hereby releases The Raleigh School of Ballet, Inc. from liability for injuries to the person or property of the student, which may occur while participating in the activities of the School. The undersigned further agrees to indemnify The Raleigh School of Ballet, Inc. in the event any claims are asserted against it arising from the student’s participation in the activities of the School.

Required

I understand and will follow the dress code: *

Girls: Solid color leotard, Light Pink or Flesh Colored (non-shiny) Footed or Convertible, Hair pulled back into a neat secure bun. No bangs or wisps.

Shoes: Girls: Pink or Flesh Colored Leather or Canvas and bring pointe shoes if on pointe; Boys: White Leather or Canvas

Boys: Solid color shirt, black tights, white socks, dance belt

Required

Please Sign to Agree to Above: *

Please read and sign below to agree to the following: ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

In consideration of being allowed to participate in classes and other related activities at Raleigh School of Ballet, Inc. the undersigned acknowledges, appreciates, and agrees that:

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

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and,

I further acknowledge that Raleigh School of Ballet, Inc. has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I willingly agree to comply with the stated terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

I, for myself (or child if under 18) and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Raleigh School of Ballet, Inc. their officers, officials, agents, and/or employees, other participants, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I release Raleigh School of Ballet, Inc. from liability for injuries to the person or property of the student which may occur while participating in the activities of the School. I further agree to indemnify Raleigh School of Ballet, Inc. in the event any claims are asserted against it arising from the student’s participation in the activities of the school or the affiliated performance company.

This is to certify that I have read the risks of presence and participation and my personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, I understand and accept these risks and responsibilities. I do consent and agree to this release provided above and I do release and agree to indemnify and hold harmless the Releases for any and all liabilities incident to my presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

In addition, I have read and agreed to follow all the guidelines listed in The Raleigh School of Ballet In studio Training Protocols and Procedures.

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