Summer Mini Semester Registration
Long Island City School of Ballet
8 week Summer Semester
July 9th - August 29th

Choose Monday or Wednesday $250
Both days $450

Student Name *
Your answer
Parent Name *
Your answer
Birth Date *
Your answer
Email *
Your answer
Phone *
Your answer
Class *
TUITION
Choose Monday or Wednesday $250
Both days $450
Payment Method *
Participation Consent
I understand that participation at The Long Island City School of Ballet is voluntary and requires students to abide by applicable safety rules and standards of conduct.
I understand that there are inherent risks associated with participation in classes, rehearsals and performances, and I release The Long Island City School of Ballet and all its employees, volunteers, and related parties from any and all claims or liability arising directly or indirectly from this participation.
I agree to indemnify The Long Island City School of Ballet for any costs, expenses, or liability arising out of my child’s participation, including the cost of any medical care that may be given to my child or any expenses or fees incurred by LICSB, or liabilities arising from any lawsuit resulting from any damage or injuries caused by my child in the course of his or her participation in the activity.
In case of an emergency involving my child, I understand that every reasonable effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to The Long Island City School of Ballet staff to secure proper treatment, including hospitalization, for my child. Medical care providers are authorized to disclose to the adult in charge of the child all examination findings, test results, and treatments provided for purposes of the child’s medical evaluation, follow up, and communication with the child’s parents or guardian, and/or
determination of the child’s ability to continue in the program activities.


Students can not participate until a consent form is on file.

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Type your name below to give consent *
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Date signed
Participation consent given on this date for Fall and Spring semesters, Summer programs and all LICSB and partners rehearsals and performances.
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