Performance Intensive 2024

Performance Intensive

This is your registration form for the 2024 Performance Intensive to be held June 18 through July 20, 2024. Please fill out the registration form and pay the required fees prior to attending class.
Student Name*

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Age*
Parent Name (if student is under 18 years old)

First NameLast Name
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Phone Number*

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Emergency Contact Name*

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Emergency Contact Phone Number*

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Relationship To Student
Primary Dance School/Organization Affiliation
Primary Dance School Address

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Years of Ballet Studies*
Years of Pointe Work*
My Products
prevnext( X )
Basic$250.00
Monday & Wednesday 4:00 - 5:30 p.m. For students with at a basic level (BCUI Classes Basic 1, Basic 2, age 7-9).

Intermediate$400.00
Monday - Thursday 5:30-7:00 p.m. For students at an intermediate/intermediate advanced level (BCUI classes Basic 3, Intermediate 2)

Advanced$450.00
Monday - Friday 5:30-8:00 p.m. For students at an advanced level (BCUI classes Advanced, Centre).

Total $0.00
BALLET CENTER UTAH, INC. LIABILITY AGREEMENT

In consideration of my, or my minor child's participation in Ballet Center Utah, Inc.'s (BCUI) Performance Intensive, by way of dancing, observation, school and theatre activities, I voluntarily consent to my, or my minor child's, participation and those risks involved in this type of activity. I hereby consent, declare and represent, by checking the box below, that I am on notice that BCUI has no medical, health, hospitalization or evaculation insurance to cover me, or my minor child, in the event of accident, injury, illness, death or act of war, and hereby specifically release and hold harmless BCUI and any other allied organization associated with this event not listed here, their Boards of Directors, administrators, agents, employees, representatives, volunteers, assigns, contractors and personnel, or any other participants including, but not limited to, sponsoring dance orgnaizations and/or studios and their associates from any and all liability connected with my, or my minor child's, participation in the event and associated events and assume any and all risks, liabilities and responsibilities for all accidents, injuries, damages or property losses arising therefrom or any act of war.

Furthermore, I acknowledge that it has been strongly recommended to me that, if I have not done so already, that I obtain my own, or in the event of my minor children, his or her own health, TRAVEL INSURANCE which must include the coverage for medical treatment, hospitalization and evacuation, prior to participating in this event.

I HEREBY DECLARE AND REPRESENT that in making, executing and tendering this Statement of Voluntary Consent, General Release, and Waiver of Liability, I fully understand and acknowledge that I am relying wholly upon my own judgment, belief and knowledge of the circumstances involved in my, or my minor child's, participation in this event and related events, and that I have read this statement, understood its contents and voluntarily execute it of my free will and choice.

No refunds will be given on tuition for any reason. Special arrangements can be made through our business office for installment payments at a slightly higher fee.
COVID-19 LIABILITY AGREEMENT

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing and that Ballet Center Utah, Inc. has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Ballet Center Utah Inc. cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others.

I voluntarily seek services provided by Ballet Center Utah, Inc. and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending the Summer Ballet Study.

I attest that I/my student am/are not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell and am following all CDC recommended guidelines and guidelines set forth by Ballet Center Utah, Inc. as much as possible to limit my own/my student’s exposure to the Coronavirus/COVID-19.

I hereby release Ballet Center Utah, Inc. from any liability or claim that I and/or my student may have against the studio with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Ballet Center Utah, Inc. This liability waiver and release extends to the studio together with all owners, partners, and employees.
Agree to Terms*

By checking this box, you agree to the above set terms from Ballet Center Utah, Inc.

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