Parsons Dance Summer Intensive Registration

Participation by Minors in the Parsons Dance Summer Intensive

If the student will be under 18 when the Intensive begins, we must speak with a parent or guardian before admitting them to the program. Please fill out the additional fields below, and we will contact the guardian for further details after you submit the application.
Guardian's Full Name

First NameMiddle NameLast Name
Guardian's Relationship to You
Guardian's Email Address
example@example.com
Guardian's Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Home Phone Number (if they have one)
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Home Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Please attach the student's current performance resume in document or PDF format (with their full name in the filename).

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Payment Information

Full Summer Intensive: June 8-20

Includes two works of Parsons repertory, mock audition, photo shoot, and Friends & Family studio showing

$1,650.00

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Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

What type of Credit Card is this?
Emergency Contact

The following questions are in reference to the student's Emergency Contact. You must name a person familiar enough with their medical history and needs to provide guidance to Parsons Dance, in case of a medical emergency in which they cannot speak for themselves.
Emergency Contact's Name

First NameMiddle NameLast Name
Emergency Contact's Relationship to Student
Emergency Contact's Mailing Address

Street Address (Including apartment or unit number)

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact's Email Address
example@example.com
Emergency Contact's Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact's Home Phone (if they have one)
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information for the Student

Parsons Dance is committed to equitable treatment of our students. We also acknowledge that our teaching environment regularly places our students far from their preferred care providers, and sometimes outside common business hours. For this reason, we do require disclosure of pertinent medical or dietary health details, and we encourage two practices to minimize overexposure of this sensitive information: 1. Make sure your complete health record, including injury/surgery history, food or drug allergies, and any medications you must take to sustain your health, are up-to-date with your Primary Care Provider AND with your Emergency Contact above. We will always make a first effort to seek the counsel of your Emergency Contact when arranging emergency medical care on your behalf (e.g., if you are unconscious or otherwise unable to communicate for yourself). 2. Because we cannot guarantee timely access to your Emergency Contact, we must be aware of any medical details that would be necessary for other health practitioners to know before treating you. By law, Parsons Dance must store these in a separate location from the data listed on this form, and may only access them when required to assist your medical care.
How to keep your medical information current

After reading the above, please enter below any DIETARY, MEDICAL, OR ALLERGY DETAILS that a medical professional would need to know about you before treatment, including ANY PREVIOUS INJURY OR SURGERY that may be aggravated by your work with the Company.
Allergies to medications, foods, or other substances, and whether you rely on a rescue medication (e.g., an Epipen or inhaler) in case of exposure:

Enter only those which involve serious medical reactions that an emergency care provider would need to know about. Tip: if you wear a medical bracelet and/or use an Emergency Medical ID on your smartphone, those details should be included here.0/255
Injury & Surgical History:

You need only include those conditions or procedures which may be aggravated by your work with the Company or would need to be shared with an emergency care provider. 0/255
PHOTO/VIDEO RELEASE: I hereby give permission for images of myself (or the student), captured during the Parsons Dance Summer Intensive through video, photo and digital camera, to be used solely for the purposes of Parsons Dance promotional material and publications, and waive any rights of compensation or ownership thereto.
I hereby release Parsons Dance Foundation, Inc, staff, audition sites, and members of each of the foregoing entities (the “Released Parties”) from any and all liability or claims arising out of or in any way resulting from my (or my student’s) participation in the Summer Intensive, therefore, any injury, illness, damage, harm, stress (mental or physical), or disability (partial or total) suffered by me (or my student) in connection with my (or my student’s) participation in the Summer Intensive, and I agree not to make any claim against the Released Parties as a result of my (or my student’s) participation in the Summer Intensive. I understand that my (or my student’s) participation in the Summer Intensive shall be taken at my sole risk and expense. By signing below I confirm that I have read and accepted the conditions to my (or my student’s) participation in the Summer Intensive as set forth above. I understand that I am giving up substantial rights including the right to sue.

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SF Campaign (Hide Me)
Before launching the application, grab and populate the Campaign LongID in SF from the Intensive you want to assign registrants to.
SF Opp Record Type ID (Hide Me)
This corresponds to the "Program Tuition" Opportunity Record Type and exempts tuition payments from Gift rollups.
SF Product Name (Hide Me)
Total Charge (Hide Me)
CM Status (Hide Me)
CM Status Old (Hide Me)
RT (Hide Me)
SF Opp Stage (Hide Me)
SF Opp Stage OLD (Hide Me)
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Summer Intensive 2026 - June 8-20

Participation by Minors in the Parsons Dance Summer Intensive

Emergency Contact

Medical Information for the Student

How to keep your medical information current

We're almost done! Please click "SUBMIT" to confirm your registration.