2020 Oakland Ballet Virtual Summer Intensive Registration Form
Registration form for Oakland Ballet Company's virtual summer intensive workshop, July 6-24, 2020.

This three week program is perfect for dancers with a minimum of 3 years training. Minimum age: 7.* (Two week and one week enrollment is available upon request.)

Each week will feature new repertoire and choreography from different ballets.

*Age is used as a general placement guideline. Students will be evaluated and placed in the session that best matches their maturity and technical level.

Tuition:
Tuition for the program is $200/week.
A deposit of 50% is required to secure position in the program. Balance is due by July 1.
A late fee of $30 will be added to the balance after July 1.

Zoom link will be sent out on Wednesday, July 1,
Requested Intensive Level *
Session *
If you chose "Two sessions" above, please indicate which weeks you will attend.
Student First Name *
Student Last Name *
Student Birth Date *
Parent First Name *
Parent Last Name *
Note that you will primarily be contacted by email. If this is problematic, please make a note that you would like to be contacted by phone only. *
Required
Email Address *
Phone Number *
Please provide the number where you prefer to be contacted.
Street Address *
City *
State *
Zip Code *
Number of years student has been studying ballet. *
Please describe your training history, including studios you have studied at, teachers you have studied under, summer workshops attended and any significant performances. *
Have you participated in Oakland Ballet Company's summer dance program (formerly known as Ballet Boot Camp) in previous years? *
If "yes," during which years did you attend Oakland Ballet Company's summer program?
Any medical conditions of which we should be aware
MEDIA RELEASE: As a student training and/or performing with Oakland Ballet Company, I hereby irrevocably consent to release all rights to photographs, videotapes, or other recordings of me taken by Oakland Ballet Company during classes, rehearsals, and/or performances. All negatives and positives together with any and all prints now and in the future shall constitute Oakland Ballet Company's property solely and completely. I understand that I may not videotape any classes, performances or rehearsals without prior consent. *
Please type your name below to sign this form.
RELEASE OF LIABILITY AND INDEMNIFICATION: I, on behalf of myself/minor child and my heirs, guardians, personal representatives, or assigns, do hereby release, indemnify and hold harmless the Oakland Ballet Company, including but not limited to its employees, agents, and Board of Directors from any and all liabilities, claims, demands, and causes of action, of any kind arising out of or relating to any personal injuries (including death) and property losses or damages that may be sustained by me or my minor child in connection with any activities occurring in MY OWN HOME or PREMISES, or any other location I choose when engaging in remote learning opportunities with the Oakland Ballet Company. I have voluntarily chosen to participate or allow my minor child to participate in the remote dance training offered by the Oakland Ballet Company. I am aware that dance training and related activities carry certain risks that can result in injury, both minor and major, and I am fully aware of the risks and hazards involved. It is further acknowledged that the Oakland Ballet Company does not provide medical insurance. Each family must provide their own coverage. By my signature below I confirm that I have read the above Release of Liability and Indemnification and fully understand its contents. I understand that I may seek legal counsel before signing this Release of Liability and I knowingly and voluntarily agree to the terms and conditions as stated above. *
By typing my name below, I am legally accepting the Oakland Ballet Company Release of Liabiity and Indemnification.
Date *
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