Summer Intensive Video Audition Registration

Summer Intensive 2025 Video Audition Registration Form
If you are unable to attend the in-person audition, January 26 we encourage you to submit a video audition. Auditions are open to all male and female students ages 9+
- Video Auditions Fee: $50
- In-Person Audition, Sunday January 26th, 2025 at 12:00pm-2:00pm.
- Summer Intensive Session one: June 16 – June 27
- Summer Intensive Session two: July 7-17
- All fees are non-refundable regardless of circumstances
Please select one option below:*

New StudentCurrently enrolled in the MBS 2024/25 season
Already auditioned:

YESNO
Parent/Guardian Info
Parent/Guardian 1*

First NameLast Name
Relationship to Student*
Primary Phone*

Area CodePhone Number
e-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian 2

First NameLast Name
Relationship to Student
Primary Phone

Area CodePhone Number
e-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact (If Parent/Guardian cannot be reached)*
Emergency Phone*

Area CodePhone Number
Referral Info
How did you hear about us?*
Referral Name

First NameLast Name
Billing Info
Billing Information differs from Parent/Guardian Information
Please note: Parent/Guardian listed above assumes primary responsibility for account maintenance. Billing Info is for contact information only.
Billing Name*

First NameLast Name
e-mail*
Primary Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Info
Student Name*

First NameLast Name
Student Gender*
Age*
Date of Birth*

MonthDayYear
Grade in School 2024-2025*
School*
Current Ballet School*
Number of hours in Ballet classes per week*
Student email
Student Cell Phone

Area CodePhone Number
Please upload headshot*

Browse Files

Cancelof
Please upload 1st Arabesque shot *

Browse Files

Cancelof
Video Link*
Audition Fee
ADD STUDENT 2
Student 2 Info
Student Name*

First NameLast Name
Student Gender*
Age*
Date of Birth*

MonthDayYear
Grade in School 2024-2025*
School *
Current Ballet School*
Number of hours in Ballet classes per week*
Student email
Student Cell Phone

Area CodePhone Number
Please upload headshot*

Browse Files

Cancelof
Please upload dance shot*

Browse Files

Cancelof
Video Link*
Audition Fee
Totals
Grand Total *
4%
4% convenience fee will be added to all credit card payments. We will make any necessary corrections and bill your account. Payment and a current account is required to secure a place in each class. Class sizes are limited.
Notes:
Terms and Conditions
Today's Date

MonthDayYear
Date
REGISTRATION POLICY

**All parents must read**

Risks of Participation

The Undersigned recognizes and understands that while Released Parties have undertaken reasonable steps to lessen the risk of transmission of communicable diseases, including but not limited to, COVID-19, in connection with participation in the activities, the Released Parties are not responsible in any manner for any risks related to communicable diseases in connection with Participant's participation in the activities. Specifically, the Undersigned understands that COVID-19 is a highly contagious and dangerous disease, and that contact with the virus that causes COVID-19 may result in significant personal injury or death. The Undersigned is fully aware that participation in the activities carries with it certain inherent risks related to transmission of communicable diseases ("Inherent Risks") that cannot be eliminated regardless of the care taken to avoid such risks. Inherent Risks may include, but are not limited to, (1) the risk of coming into close contact with individuals or objects that may be carrying a communicable disease; (2) the risk of transmitting or contracting a communicable disease, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from communicable diseases or the treatment thereof. Further, the Undersigned understands that the risks of all communicable diseases are not fully understood, and that contact with, or transmission of, a communicable disease may result in risks to the Participant including but not limited to loss, personal injury, sickness, death, damage, and expense, the exact nature of which are not currently ascertainable, and all of which are to be considered Inherent Risks. The Undersigned hereby voluntarily accepts and assumes all risk of loss, personal injury, sickness, death, damage, and expense for the Participant arising from such Inherent Risks.

Acknowledgement of Risk and Waiver of Liability
My child has no physical conditions that would limit his/her participation in dance activities.

I hereby give permission for my child to participate in activities at MBS, to work on all of the necessary equipment, and to be transported to and from additional dance activities.

In case of emergency the MBS staff has my permission to use their judgment with regard to treatment until I can be contacted. Moreover, I hereby authorize any qualified physician contacted to proceed with treatment. In case of emergency, I understand that my child will be transported to the nearest hospital or preferred hospital (please fill in Hospital name below) by the local emergency resource if rescue squad deems necessary. I understand that I will be responsible for all medical and emergency transportation expenses. It is understood that in some medical situations, the staff will need to contact the emergency resources before contacting the parent or other adult acting on the parent’s behalf.

I understand and accept that touching in a professional manner in order to provide proper correction is a necessary part of dance instructions.

I grant permission for photographs and video taken at the Minnesota Ballet School to be used by MBS in displays or for advertising purposes. I understand that no personal information will be associated with any photographs or video without my consent and that no compensation is offered. I also understand that all photographs and video taken by the MBS are the property of Minnesota Ballet School.

Warning: injury can result from improper conduct of this activity.

I accept full responsibility on behalf of my child for his/her use of any and all apparatus, appliances, facility, instruction, privilege or service whatsoever, owned, provided and operated by MBS at his/her own risk and shall hold MBS, its shareholders, members, governors, officers, employer’s representatives and agents harmless from any and all loss, claim, injury, damage or liability sustained or incurred by my child resulting therefrom.
Please designate preferred hospital in case of emergency.*
Check the box to agree with terms and conditions above*

I Agree
Credit CardCash

Should be Empty:

Summer Intensive 2025 Video Audition Registration Form

Parent/Guardian Info

Referral Info

Billing Info

Student Info

Student 2 Info

Totals

Terms and Conditions

REGISTRATION POLICY

**All parents must read**

Credit Card

All parents must read