Registration Form - Asheville Academy of Ballet 2021
Please fill out this form to agree to the participation waiver and enroll for classes (in-person or Zoom) at the Asheville Academy of Ballet and Contemporary Dance
Email *
Student's full name *
Parent (or guardian) full name/s (if student is under 18) *
Student's birthdate *
School affiliation, if applicable (eg. Jones Elementary)
Grade/year in school as of September 2021 (if applicable) *
We’d like to create a network for families to help each other within our dance community. If you want to be a part of this resource, please list parent or family member professions or specialties (eg. electrician, realtor, teacher):
Contact information:
Primary phone number *
Additional phone number
Student's phone number (if applicable)
Additional parent/guardian email address
Additional email address (eg. student)
Mailing Address *
I am enrolling myself (or my child) for the following classes (please list classes below if you haven’t already emailed us):
If you have scheduling challenges, please let us know those (eg. I can only attend on Saturdays, or I can't get to the studio before 3:30 on weekdays, etc.):
I recognize that my (or my child's) attendance and participation may expose me (or my child) to the risk of injury or harm. I accept this risk and agree that neither Asheville Ballet, nor Asheville Academy of Ballet and Contemporary Dance, nor contracted teachers or staff will be held responsible, should such injury or harm occur. (Please type your name) *
Please help us spread the word about the Asheville Ballet by signing this photo waiver: I authorize and agree that AABCD may take and use photographs or likenesses of myself or my child (without identification) as needed for its record keeping, advertising, social media and/or public relations projects and that I have no rights to the same and will not be compensated for the same. (Please initial below)
I acknowledge that despite careful attention to sterilization, disinfection, and social-distancing practices, there is still a chance that my child or myself could potentially be exposed to an illness, including COVID-19, while at AABCD. Although AABCD is actively working to take precautionary measures to reduce the possibility of transference of communicable diseases, there is still a possibility that exposure may occur. I understand that AABCD makes no representation regarding its ability to prevent exposure to any illness. (Please initial below) *
I further agree that in the event that I, my child, or anyone in my household tests positive for COVID-19, or is known to have had direct exposure to someone who has tested positive for COVID-19, I will inform AABCD and will not permit my child or family member to attend classes for 10 days. I will not send my child or family member to class if my child or anyone in my household is exhibiting symptoms of COVID-19. (Please initial below) *
Please review our current COVID guidelines for in-person classes:
COVID Studio Usage Agreement for in-person Asheville Academy of Ballet classes as of 6/30/21

1) For children under age 12 and for anyone who has not been fully vaccinated: Face masks, which cover nose and mouth, must be worn at all times in the studio, lobby, and all other inside spaces, even while dancing, and even while alone in the room, the restroom, or the building. Thank you for helping us keep everyone safe.**

2) No one may enter the building who may have been exposed to COVID-19, or who has a fever, sore throat, coughing, loss of taste or smell, or shortness of breath. If you answer “yes” to any of the following questions, you must alert your instructor via text and you may not be allowed to enter the space.

- Have you or anyone in your household had any of the following symptoms in the last 5 days:

o sore throat
o cough
o congestion or runny nose
o chills
o headaches for unknown reasons
o body aches for unknown reasons
o shortness of breath or difficulty breathing for unknown reasons
o new loss of smell or taste
o fever at or greater than 100.4 degrees Fahrenheit
o nausea/vomiting/diarrhea

- Within the past 14 days, have you been in close physical contact with a person who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19?

- Are you isolating or quarantining because you may have been exposed to a person with COVID-19 or are worried that you may be sick with COVID-19?

- Are you currently waiting on the results of a COVID-19 test?

**Your entry into the space each day will serve as your agreement that you have asked yourselves the health screening questions and that you have no reason to believe that you or anyone with whom you have had close contact might be sick. Thank you for your care for your dance community.**

3) Wash your hands and use hand sanitizer frequently. We are asking that everyone wash or sanitize their hands as soon as they arrive, and sanitize their hands frequently, especially after touching their masks or faces.

4) Bring your own water from home. The drinking fountain will not be in use.

5) No food at all is allowed in the building during this time, and the fridge will not be in use.

6) Parents, siblings, and friends will not be allowed to wait in the studio or the lobby. You will drop your children off at the front door at the start of class, and pick them up at the back door (nearest the creek) at the end of class – please be on time when class ends. Please wait in your car during the class; if you must leave the premises, be sure your child and your child’s instructor have your phone number. There will be no office staff on site, and the lobby doors will be locked during class. (Parents and siblings will be allowed to use the lobby restrooms in an emergency, but must ask yourselves the health screening questions before entering, and if unvaccinated, must wear masks that cover your nose and mouth at all times – except children under age 2.)

7) Students will remove their street shoes before entering the studio itself (shoes may be placed on the landing so that you may have them available for a bathroom break). Please bring with you a plastic bag or plastic bin in which to place your street shoes and carry them with you downstairs, where you will place them by the exit door. Please sanitize your hands again after touching your shoes/feet.

8) Please arrive in your dance clothes and warm-ups. Dressing rooms will not be in use. Bring in minimal belongings and keep everything with you downstairs in the studio so that after class, you only have to put on your warmups, sanitize your hands, and leave via the back door.
I have read, understand, and agree to be bound by the above terms for participation in classes at Asheville Academy of Ballet. Please enter the date below: *
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