Newark Symphony Hall & New Jersey Ballet Masterclass 10/27 - 4:30 PM
Please contact vbriones@newarksymphonyhall.org if you have any questions.
Student Information
Student Name
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Student Pronouns
Student Age
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Student Email
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Student Phone Number
Parent/Emergency Contact Information
Parent/Guardian Name
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Parent/Guardian Pronouns
Parent/Guardian Email
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example@example.com
Parent/Guardian Phone Number
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Emergency Contact same as Parent/Guardian?
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yes
no
Emergency Contact Name
Emergency Contact Pronouns
Emergency Contact Email
example@example.com
Emergency Contact Phone Number
Please describe any previous training / experience (including previous NSH/NJ Ballet Masterclasses, if applicable).
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Are there any previous or current injuries that the instructor should be aware of? (If so, please describe.)
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Are there any accommodations needed?
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Is there anything else you would like the instructor to know?
How did you hear about this class?
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Would you like to hear about future Newark Symphony Hall and/or New Jersey Ballet programming?
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Yes, keep me up to date!
Yes, but only youth classes.
No, thank you.
Do you give permission for the use of any photos/videos captured during this event? (If under 18, please have a parent/guardian give consent!)
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Yes
No
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