Colorado Ballet Virtual Class Registration and Permission Slip
After three successful weeks of online classes with our partner schools, the Education and Community Engagement Department at Colorado Ballet has decided to to open up our virtual classes to the public!

We are very excited to open up these classes to the public for students in grades K - 2nd. It has been an adventure for students and teaching artists alike, but we are in this together and are ready to continue in the challenge!

For $10/class, students are invited to participate in a 30-45 minute live zoom class with a teaching artist. You can register for however many classes you like, but please keep in mind that registration will close TUESDAY, APRIL 21ST AT 12:00 PM for the classes listed below.

We are happy to offer this opportunity for the discounted rate of $10/class. Please note that the typical cost for these classes is $15/class; if you are able, we ask that you consider making an additional donation toward this programming. Due to the financial impact of COVID-19, Colorado Ballet is doing our best to support our teaching artists and students on a limited budget. As a nonprofit organization that relies on the support of the community, Colorado Ballet deeply appreciates your generosity.

If you have more than one student at home who would like to participate in these classes, please register each student individually and ensure the demographic information is unique to each student registered.

PLEASE NOTE: The email address provided in this form is where your receipt, live zoom link, and all class communications will be sent. Also, if you prefer to give your payment info over the phone, please enter 0 or N/A for card info and indicate such on the last question.

Colorado Ballet retains the right to refuse service to any student whose behavior interrupts the goals, progress and general well-being of the class. This form and permission slip must be filled out, acknowledged, and consented by the parent/guardian/caretaker for the student to enter and continue with classes in the virtual program. By acknowledging and consenting to the terms within this form, the parent/guardian/caretaker understands the rules and regulations of the program.

If you have any questions or concerns regarding this form, please contact Cassie Wilson at cassie.wilson@coloradoballet.org.
Email address *
School Name *
Your answer
Student's Full Name *
Your answer
Student Date of Birth *
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DD
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YYYY
Grade Level *
Data Collection Agreement (DPS Schools Only) *
I understand that the Organization holds information and data related to my Child including my Child’s performance and attendance. I understand the success of my Child and the Denver After School Alliance is based on assessment of such information and data. I hereby give permission to the Organization to release my Child’s attendance records, grades, and state assessment test (or other test) scores to school districts, City and County of Denver, and providers with District and City approval for the purposes of evaluating the success of the programs and to be able to more effectively serve my Child. I hereby give permission for my Child to respond to anonymous satisfaction and feedback surveys that assess my Child’s experience with the Organization and provide feedback on programs, including any impact programs may have had on my Child’s academic performance and/or behavior. I understand that all information collected on my Child will be kept confidential, and that these confidential records will not be used for any purpose other than to evaluate the success of the programs. Data will be released to authorized outside entities for evaluation purposes only and all confidentiality standards will be upheld.
Required
Student's 6 digit DPS ID (Lunch) Number
Your answer
Do you agree to the use of any photographic or video graphic images for Colorado Ballet publicity purposes? *
Please note that any and all photos or videos will be solely used to promote Colorado Ballet’s Education and Community Engagement programs via our website, Facebook, and printed collateral. Photos and videos are a valuable resource for our department to display the work we are doing within the community. If you have any questions pertaining to the use of any photos or video, feel free to contact Cassie Wilson at cassie.wilson@coloradoballet.org.
Does your child have any individual learning needs that Colorado Ballet teaching artists should be aware of?
Your answer
Are there any health concerns that Colorado Ballet teaching artists need be aware of?
Your answer
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM VIRTUAL DANCE CLASSES *
I, PARENT/GUARDIAN OF SAID CHILD(REN) HEREBY ASSUME ALL OF THE RISKS OF MY CHILD(REN) PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THESE VIRTUAL DANCE CLASSES, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective reigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of my child(ren), for my child(ren)’s death, disability, personal injury, or actions of any kind which may hereafter occur to my child(ren) during VIRTUAL DANCE CLASSES BY THE FOLLOWING ENTITIES OR PERSONS: COLORADO BALLET and/or their directors, employees, or volunteers.(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE THE FOLLOWING ENTITIES OR PERSONS: COLORADO BALLET and/or their directors, employees, or volunteers from any and all liabilities or claims made as a result of participation in VIRTUAL DANCE CLASSES, whether caused by the negligence of release or otherwise. I acknowledge that COLORADO BALLET and their directors, employees, and volunteers are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting VIRTUAL DANCE CLASSES on their behalf. I acknowledge that this activity may involve injury. The risks include, but are not limited to, those caused by jumping, leaping, turning, stretching, or any dance movement, lack of hydration, improper dance floor, and actions of other people including, but not limited to, participants, and/or producers of the activity. I hereby consent for my child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during VIRTUAL DANCE CLASSES. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT. I SIGN IT OF MY OWN FREE WILL. I certify that my child(ren) is physically fit, has sufficiently prepared or trained for participation in VIRTUAL DANCE CLASSES, and has not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my child(ren)’s participation in VIRTUAL DANCE CLASSES. I acknowledge that this Accident Waiver and Release of Liability Form will be used by COLORADO BALLET , the director, class holders, sponsors, and organizers of the activity in which my child may participate, and that it will govern my child(ren)’s actions and responsibilities at VIRTUAL DANCE CLASSES. I permit my child to participate in VIRTUAL DANCE CLASSES.
Required
Please select EACH date below that your student would like to participate in (the more consistent, the better as a normal session would run!): *
Required
Additional Donation Amount (not required, but encouraged!)
Your answer
Parent/Guardian Name(s) *
Your answer
Phone Number
Your answer
Card Number *
Your answer
Name on Credit Card *
Your answer
Expiration Date - XX/XX *
Your answer
CVV (on the back of the card) *
Your answer
Billing Address (Street, City, State, ZIP CODE) *
Required for payment purposes
Your answer
I agree to have my credit card charged for the above classes, as well as any additional donation amount indicated. A receipt will be sent at the time of charge to the email address on this form. *
Required
A copy of your responses will be emailed to the address you provided.
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