REGISTRATION FORM
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ordering digital photo
*
Yes
No
1st Student Name/Age
*
Session Date/Group
*
Please Select
May 16 • Ballet 2-6 Level
May 16 • Pre-Ballet & Ballet 1 Level
May 16 • Mommy/Daddy & Me
May 16 • Adults
Choose Individual
*
Yes
No
Rent MBS Spring Gala Costume (Ballet 2-6 Level Individual Picture Only)
Yes
No
Costume Fee
Add Student
2nd Student Name/Age
*
Session Date/Group
*
Please Select
May 3 • Ballet 2-6 Level
May 3 • Pre-Ballet & Ballet 1 Level
Rent MBS Spring Gala Costume (Ballet 2-6 Level Individual Picture Only)
Yes
No
Costume Fee
Note to Photographer
Total Payment
5%
5% convenience fee will be added to all credit card payments
Waiver/Copyright Acknowledgment & Policies
Credit Card Payment:
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USD
Description
Credit Card
I acknowledge and consent to the following statement: I authorize Minnesota Ballet School and the photographer to photograph my child. I understand and agree that Minnesota Ballet School may use these images for various purposes, including but not limited to social media, advertisements, etc. I acknowledge that there will be no compensation provided for the use of these images.
*
I Agree
By signing (draw your signature) below I certify that I am at least 18 years of age. I have read this portrait agreement/waiver/contract and fully understand the contents thereof. I agree that I have the legal authority to grant these permissions and accept all responsibility for such.
*
Submit
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