Adult Ballet & Barre Outside

Adult Ballet & Barre Outside
Full Name *

First Name Last Name
Preferred Skill Level *

Advance beginner Intermediate
Preferred Pronouns *
for example: she, her, hers, he, him, his, or they, them, theirs
Phone Number *
E-mail *
You will receive class info here
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency contact person *

First Name Last Name
Emergency contact phone *
Emergency contact phone
What would you like to gain from class
How did you hear about us? *
Donation Based Classes, Guidelines and Courtesies

Since 2003 our donation-based model has aimed to make a variety of dance, voice and acting classes more accessible both financially and socially for all seeking to train.We’ve been able to sustain our donation-based program by partnering with talented teaching artist, our student base and community member seeking to support arts & education initiatives. Our donation-based model allows students in a position to contribute the suggested donation to do so and for others to give what they can. Like all other services – if we have met or exceeded your expectations we encourage you to show your appreciation with the suggested donation.To help us maintain a quality product we’ve implemented guidelines for giving. These guidelines help us meet or exceed the cost of operation and better serve you.Because our barres and floors need to be transported to and from we’re asking for a little more to participate in these classes.We’d like to suggest:Single class $19Purchase 4 or more classes $15
Waiver of Liability & Photo Release

Waiver of Liability & Photo Release By signing below I agree and understand that I acknowledge that this is a physical active and inherently involves a small risk of injury. I understand that this activity will involve Theatre Arts related activities. I hereby agree to hold T3 Triple Threat Youth Mentors (T3), or any of its affiliates harmless for any injury to myself/my child resulting from me/my child’s participation. I will not sue T3 or any of its affiliates for any injury, loss or property or damage resulting from participation in this activity. Additionally I give my permission and understand T3 may use any photos and video footage taken for promotional purposes. These materials may be used at any time.
Name *

First Name Last Name
Date

Month Day Year
Date

Please give name of two people that may want to participate:

Name

Should be Empty:

Adult Ballet & Barre Outside

Donation Based Classes, Guidelines and Courtesies

Waiver of Liability & Photo Release