LEGACY Fall/Winter Teen Jazz Dance Workshop Info & Registration
Please complete and submit the Registration Form and $25 Registration Fee by November 4, 2020.
Questions? Email: INFO@JAZZANTIQUA.ORG

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Dear Students and Parents,

The award-winning JazzAntiqua Dance & Music Ensemble was founded in 1993 with a commitment to jazz dance education, preservation and creation.

Join us for an amazing 7-week series of VIRTUAL jazz technique classes AND jazz choreography workshops/rehearsals. This FREE program is open to dancers ages 13-18. Space is limited to 24 participants on a first come, first served basis. Students must commit to the full seven week program.

$25 registration fee is payable via PayPal on this page: http://www.jazzantiqua.org/legacyworkshop.html

WEEK 1-7 /November 7-December 19, 2020
Weekly (Saturdays) Via ZOOM
10:30-11:50am / Jazz Dance Technique Class with Pat Taylor, Artistic Director
12:00-1:00pm / Rehearsal with one of the following choreographers: Keisha Clark-Booth, Bernard Brown, or Tashara Gavin-Moorehead

WEEK 7 / December 14-19
Production Week!
* Shoot locations determined, put together your costume, videotape and submit your sections of the choreography under the direction of each choreographer and JazzAntiqua Faculty who will work with you remotely
* Post-production and editing by the JA Team

REQUIREMENTS TO PARTICIPATE
Must have reliable internet access for your cell phone, computer, iPad or tablet in order to participate in classes and rehearsals via Zoom, and to transfer video files in week 7
Must have a cell phone, iPad or tablet to videotape yourself in week 7
Must commit to the entire 7 week program
Must complete and submit registration form and pay $25 registration fee

For questions and additional information about the Fall/Winter Teen Jazz Dance Workshop, please email: Pat Taylor at INFO@JAZZANTQUA.ORG.

For more information about JazzAntiqua, visit: WWW.JAZZANTIQUA.ORG
Email address *
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PARTICIPANT INFORMATION
Student First and Last Name *
Student Age *
School Attending *
Student Email Address *
Student Cell Phone # *
Briefly explain why you would like to participate in the LEGACY Fall/Winter Teen Jazz Dance Workshop *
Briefly describe your dance experience *
PARENT / GUARDIAN INFORMATION
Only to be completed if participant is under the age of 18.
Parent / Guardian First and Last Name *
Parent/ Guardian Address, City, State, Zip Code
Parent / Guardian Email Address *
Parent / Guardian Telephone # *
PHOTO AND VIDEO ACKNOWLEDGEMENT
Participant (if 18 years old) or Parent/Guardian acknowledges and agrees that Participant will appear in the Fall/Winter Teen Jazz Dance Workshop culminating project - a performance video; and in photos and videos that will be used for social media, promotion, grant reports and applications and other informational purposes. Participant (if 18 years old) or Parent / Guardian (if participant is under the age of 18) - initial below and select today's date. *
Select today's date *
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LIABILITY DISCLAIMER, RELEASE AND WAIVER
Your agreement to participate in an online class means that you fully agree to the following:

Dancing is a strenuous activity from which injuries could arise. I understand that I have enrolled or enrolled my child/ward in a program of potentially strenuous physical activity. JazzAntiqua Dance & Music Ensemble (Jazzantiqua, Inc.), the teachers and program administrators are not liable for personal injuries.

Each student may decline to participate in any activity. Please inform LEGACY program director and instructors of any limitations your child or ward might have. If you are 18 years old, please inform LEGACY program director and instructors of any limitations you have.

I represent that I am physically able to participate in all activities, or that my child/ward is physically able to participate in all activities.

I, for myself, my child/ward, my spouse, heirs, legal representatives and assigns, expressly release, waive, discharge and hold harmless JazzAntiqua Dance & Music Ensemble (Jazzantiqua, Inc.), its officers, directors, employees, teachers, agents, successors, predecessors, sponsors, legal representatives and assigns from all claims, demands, losses, actions, judgments, suits, executions and liabilities of any kind.

Agreement to this Liability Waiver will act as your continued agreement to all ensuing sessions, workshops and/or seminars via Zoom or any other video conferencing tool.
Participant (if 18 years old) or Parent/Guardian acknowledges, agrees and accepts the Liability Disclaimer, Release and Waiver. Participant (if 18 years old) or Parent / Guardian (if participant is under the age of 18) - initial below and select today's date. *
Select today's date *
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A copy of your responses will be emailed to the address you provided.
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