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Registration 2024-2025
DP STUDIO OF CLASSICAL BALLET
2024-2025 Registration Form & Waivers
Classes begin August 12th, 2024
Registration fee: $60 (can be paid via Venmo @dpclassicalballet or by check to DP Studio)
Spring Recital fee - performance May 24, 2025: $60 (can be paid via Venmo @dpclassicalballet or by check to DP Studio)
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Indicates required field
Name (Student)
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First
Last
Date of Birth
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Name (Mother)
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First
Last
Cell Phone
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Name (Father)
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First
Last
Cell Phone
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Home Phone
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Parent's Email
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Home Phone
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Student's Email (Optional)
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Please list the day(s) and time(s) of classes you are signing your child up for (refer to registration email for options):
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Tuition Payment Agreement Form 2024-2025
I/We agree to pay
The Diane Partington Studio of Classical Ballet
the tuition and all fees for the attendance of my/our child(ren) as established by the school for the 2024-25 school year. I understand that if my monthly tuition is paid after the 10th of each month, I will be charged a $25 late fee.
A $60 non-refundable registration fee is required at the time of registration, along with a $60 recital fee for participation in the Spring performance taking place on May 24, 2025.
Person Responsible for Account
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Address (If different from above)
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Line 1
Line 2
City
State
Zip Code
Country
Electronic Signature of Parent/Legal Guardian
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PARTICIPATION/MEDICAL AGREEMENT RELEASE FORM
(TO BE SIGNED BY PARENT OR LEGAL GUARDIAN)
I, the undersigned, understand and agree that dance and participation with the DP Studio of Classical Ballet is a strenuous, physically demanding activity which could but not likely to result in injury. I certify to the DP Studio of Classical Ballet, it’s agents, servants, employees, organizers, volunteers, faculty and staff that I/my child am/is physically capable of participating in all activities, programs, classes, performances and that I/my child expressly assumes the risk of personal injury arising from my/my child’s participation in all activities, programs, classes and performances of the DP Studio of Classical Ballet. I hereby release, remise, acquit and otherwise hold harmless the DP Studio of Classical Ballet it’s agents, servants, employees, organizers, volunteers, faculty and staff from and against any claims, suits and causes action for any injury, illness, property damage or loss incurred or sustained during my/my child’s participation with the DP Studio of Classical Ballet and arising in whole or in part from negligence or other misconduct of any individual or entity, including by not limited to the DP Studio of Classical Ballet it’s agents, servants, employees, organizers, volunteers, faculty and staff. I hereby grant permission to transport myself/my child to a medical doctor or hospital in case of illness or injury, and I/my child may receive treatment, as deemed medically necessary, by a licensed physician in the event of an injury.
(Required in case of Medical Emergency)
Participant's/Parent's Medical Insurance Company
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Student's Full Name
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First
Last
Policy Number
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E-Signature of Parent or Legal Guardian
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Please list any medical conditions your child has or has had in the past: (If none - please enter "N/A")
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Please list any medications your child takes: (If none - please enter "N/A")
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Please list any previous injuries your child has had: (If none - please enter "N/A")
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COVID-19 Liability Release Waiver
In consideration of my/my child's participation at the Studio of Classical Ballet , the undersigned acknowledges and agrees to the following:
Common COVID 19 Symptoms:
- Fever or chills
- Muscle or body aches
- Shortness of Breath
- Dry cough
- Fatigue
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
I understand the above symptoms and acknowledge that upon returning to the studio I am responsible for informing the Studio of Classical Ballet if any household members have experienced the symptoms listed above or have tested positive for COVID 19.
I understand that The Studio of Classical Ballet cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each student.
I understand that I am responsible for informing The Studio of Classical Ballet immediately if my child or any household members test positive for COVID 19 - and understand that my child will need to stay home from ballet for at least 5 days or until a Negative test is acquired.
*** By signing below I acknowledge that I have read and agree to each above statement and release
The Diane Partington Studio of Classical Ballet Inc
. from any and all liability for the unintentional exposure or harm due to COVID-19.
The Diane Partington Studio of Classical Ballet Inc.
and all employees of this facility agree that they abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.
Electronic Signature of Parent or Legal Guardian
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Media Release Form
I grant to
The Studio of Classical Ballet,
it's representative and employees the right to use my child's/children's ballet photograph and/or ballet video in connection with the above-identified subject. I authorize
the Studio of Classical Ballet
, it's assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that
The Studio of Classical Ballet
may use such ballet photographs and/or ballet video of my child/children with or without his/her/their names for any lawful purpose, including for example such purposes as, publicity, illustration, advertising and web content.
Electronic Signature of Parent or Legal Guardian:
*
Submit
Home
About
About Us
Meet the Team
Summer
Media
Photos & Videos
>
Summer Intensive 2017
Cinderella 2017
Nutcracker 2016
Don Quixote 2016
Nutcracker 2017
Press Coverage
Performances
Nutcracker
Contact
Registration
Registration 2024-2025