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Hannah's Outdoor Ballet Program - Registration Form Fall 2020

Outdoor Ballet Fall Program Details - Begins 09/8/2020 Ends 10/15/20

Cost: $100 (for 10 classes, twice-weekly)
All parents/guardians MUST read the COVID Procedures page on this website before signing up your dancer.

After signing up, all parents/guardians MUST fill out the attached "Hannah's Ballet COVID Acknowledgment and Assumption of Risk and Release of Liability" found on the COVID Procedures page and in your emailed receipt before your dancer can attend ballet class
The plan is to complete all 10 classes outside in the park, however, if for any reason we are not able to finish our in-person classes (due to weather or COVID), I am committed to offering virtual classes in place of any we are unable to do in person!
Classes have a maximum of 8 dancers and a minimum of 6 dancers to run
( No class on September 15th or 17th)

Registration Deadline: Students must be signed up online by September 1st, 2020

* Indicates required field

Dancer's Full Name *

First

Last

Class you are signing up for *

Tuesday/Thursday 5pm-6pm (K-5)

Dancer Age (As of Sept. 2020) *

Dancer Grade (Fall 2020) *Dancers must be in kindergarten to sign up for class * *

Parent/Legal Guardian Name *

Parent/Legal Guardian Phone *

Parent/Legal Guardian Email *

Parent/Legal Guardian Address *

Second Parent/Legal Guardian Name *

Second Parent/Legal Guardian Phone *

Second Parent/Legal Guardian Email *

Emergency Contact Person (other than parent) *

Relation to Dancer *

Emergency Contact Person Phone *

Who does the dancer live with? *

Who has permission to pick up your dancer? Please list names and relations to the dancer. *

Any known medical conditions/allergies? *

Does the dancer carry an epi-pen or inhaler? *

Do you give photo release permission for your dancer? (Photos may be used on website) *

Yes No

Do you have any other concerns or things we should know about your dancer? *

I/WE PROMISE THAT MY/OUR DANCER WILL NOT ATTEND OUTDOOR BALLET CLASSES IF THEY HAVE ANY OF THE FOLLOWING SYMPTOMS : FEVER, COUGH, SHORTNESS OF BREATH OR DIFFICULTY BREATHING, BODY ACHES, NEW LOSS OF TASTE OR SMELL, SORE THROAT, CONGESTION OR RUNNY NOSE, NAUSEA OR VOMITING, DIARRHEA. PLEASE SIGN BELOW *

I/WE REALIZE THAT PARTICIPATION IN DANCE CLASSES AND ACTIVITIES COULD RESULT IN SOME POSSIBLE PERSONAL INJURY, OR EXPOSURE TO COVID-19. DESPITE PRECAUTIONS BEING TAKEN BY Hannahs ballet, ACCIDENTS, INJURIES, OR EXPOSURE TO COVID-19 RESULTING IN CONTRACTING THE VIRUS MAY OCCUR. BY SIGNING THIS RELEASE FORM, I/WE (THE DANCER AND PARENT/GUARDIAN) ASSUME ALL RISKS RELATED TO participation in Hannah’s ballet classes and the USE OF ANY AND ALL SPACES USED BY HANNAH'S BALLET. PLEASE SIGN YOUR NAME BELOW *

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Hannah's Outdoor Ballet Program - Registration Form Fall 2020

Location

Contact Me at Hannah.jacobsma@gmail.com or 616-566-2800