BBK Bridge to Higher Education: Application
BBK Bridge to Higher Education: Senior College Prep/Mock Audition, Week One: June 29 - July 1 Week Two: August 31 - September 3
Student Full Name
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First Name
Last Name
Student Nickname or Preferred Name
Student Pronouns
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Ex: He/Him, She/Her, They/Them
Student Grade in 2026-2027 School Year
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Student Email
If applicable
Which of the following best describes you?
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American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Other
If not listed above or you prefer to expound, please describe below:
Has your student participated in Broadway Bound Kids Programs before?
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Yes
No
Please review all the program dates/times and initial that you commit to attending each class: Material selection: June 29 - July 1 (12pm-5pm), Material Worksop August 31 - September 2 (12pm-5pm) Mock Audition Sept 3 (10am - 3pm)
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Initial Here
Student: Please tell us a little about your experience, if any, thus far in the performing arts/music.
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Student: If you know, what College Programs do you plan on auditioning for?
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Student: What would you like to gain from this collegiate coaching experience?
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Student: Can you please describe the barriers in place that are keeping you from feeling ready for you college audtions?
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Guardian: BBK Bridge to Higher Education is a needs-based program. Please describe how this free program could benefit your student.
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Guardian 1 Full Name
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First Name
Last Name
Guardian 1 Phone Number
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Guardian 1 Email Address
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Guardian Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian 2 Full Name
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First Name
Last Name
Guardian 2 Phone Number
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Guardian 2 Email Address
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Please share any information about your child's medical information, allergies, or access needs that you would like us to know. In addition, if you want to share any information about your child's physician, please include it here.
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Emergency Contact: Name/Phone Number
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Will your student self-dismiss or be picked up?
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Self Dismiss
Guardian Pick Up
Apart from Guardian #1 & #2, please list who is authorized to pick up your child. Name/Phone/Relationship
ASSUMPTION OF RISK AND WAIVER OF LIABILITY RELATED TO COVID-19 Attending in-person classes, programs, or activities conducted by or in association with Broadway Bound Kids Inc. could increase your risk and your child(ren)’s risk of contracting COVID-19. Broadway Bound Kids has put in place preventative measures to reduce the spread of COVID-19 and seeks to follow the guidance and recommendations of government health agencies such as the Centers for Disease Control and Prevention and New York state and local government authorities. However, Broadway Bound Kids cannot guarantee that you or your child(ren) will not be exposed to or become infected with COVID-19 as a result of participating in our activities. Please read this agreement carefully as your electronic signature indicates that you have agreed to assume certain risks and to give up certain rights. ASSUMPTION OF RISK By signing this agreement, I acknowledge that: I have read the warning above concerning COVID-19 and understand there is a risk that I or my child(ren) may be exposed to or become infected with COVID-19 as a result of participating in Broadway Bound Kids’ classes and activities. I understand such exposure or infection may result in personal injury, illness, permanent disability, or even death. I understand that such exposure or infection could occur as a result of the actions, omissions, or negligence of myself, my children, or Broadway Bound Kids, its owners, directors, employees, agents, representatives, and volunteers. I am voluntarily assuming this risk for myself and my child(ren) as part of participating in Broadway Bound Kids’ classes and activities. I value my child(ren) being able to participate in Broadway Bound Kids’ classes and activities and am signing this agreement in exchange for such participation. AGREEMENT NOT TO SUE AND WAIVER OF LIABILITY By signing this agreement, I also promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with myself or my child(ren) being exposed to or infected with COVID-19 as a result of participating. I understand that by signing this agreement I am waiving, releasing and giving up any and all claims against, and agree to hold harmless, Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with myself or my child(ren) being exposed to or infected with COVID-19 as a result of participating in any of Broadway Bound Kids’ classes or activities.
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AGREE
ASSUMPTION OF RISK & WAIVER OF LIABILITY I understand that the classes and programs provided by Broadway Bound Kids (also known as EMG Artistic Inc.) may involve activities of a physical or athletic nature. I acknowledge that despite precautions taken by Broadway Bound Kids, such activities may result in accidents which could involve personal injury to my child(ren). I acknowledge that I believe my child to be qualified, in good health and in proper physical condition to participate in such activities. In consideration of Broadway Bound Kids providing such classes and activities and my child(ren)’s registration and participation therein, I am voluntarily assuming for myself and my child(ren) all risks, whether foreseen or unforeseen, in connection with my child(ren)’s participation in such classes or activities. I give my full consent for my child(ren)’s participation, and I promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any of Broadway Bound Kids’ classes or activities. I understand that by signing this agreement I am waiving, releasing and giving up any and all claims against, and agree to hold harmless, Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any and all personal or property injury suffered by myself or my child(ren) in connection with any of Broadway Bound Kids’ classes or activities (whether in person or conducted remotely online) or at any premises or facilities associated with Broadway Bound Kids. I hereby give my permission to Broadway Bound Kids to summon trained medical professionals to care for my child(ren) in the event that an injury should occur in my absence with the understanding that I or another family member will be notified as soon as possible. I also certify that I have insurance to cover medical and dental expenses incurred in the treatment of my child, and Broadway Bound Kids shall in no event be responsible for such expenses.
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AGREE
PHOTOGRAPH & VIDEO RELEASE I give permission for any photographs, videos, or sound recordings taken of my child(ren) during participation in any of Broadway Bound Kids’ classes or activities to be used by Broadway Bound Kids for marketing purposes. I consent to the use of any such photographs, videos, or sound recordings for marketing purposes on Broadway Bound Kids’ website and marketing materials including any promotional posters, flyers, brochures, printed and electronic ads, electronic media, etc. I understand that I will not receive compensation in any form for the use of my child(ren)’s likeness in photograph or video, and/or recorded voice. I understand that in no circumstance will Broadway Kids use my child(ren)’s name in any marketing materials.
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AGREE
OTHER MATTERS I agree that this Agreement will be governed by the laws of the State of New York. I understand and agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of New York and that the invalidity of any clause or provision will not otherwise affect the remaining clauses or provisions of this Agreement. I understand and agree that my electronic signature on this Agreement shall have the same binding legal effect as a handwritten signature to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act and the New York State Electronic Signatures and Records Act, and I hereby waive any objection to the contrary.
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AGREE
I acknowledge and agree that I have carefully read this Agreement and understand its terms and conditions. I understand that by typing my name in the box below I am signing this Agreement and consenting to its terms and conditions. I certify that I am the legal guardian of the child listed above. (Please note that you must agree to these terms in order for your child to participate in Broadway Bound Kids programs.)
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Type Guardian Name
Submit
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