Student's Name

Student's Age

Student's Date Of Birth

Parent's Name

Acknowledgement of Digital Signature Acknowledgement of Digital Signature Entering my name above acts as my digital signature and grants permission for my child to participate in the January 31st workshop.

Pick your workshop class. Each workshop is $60 with technique, contemporary, variations, and creative worship sessions. Pick your workshop class. Each workshop is $60 with technique, contemporary, variations, and creative worship sessions. INTERMEDIATE CLASS: For students who have had 3-4 years of consecutive classical ballet training in a school setting. Intermediate students will be given a thorough barre exercise followed by center work with a focus on movement quality and correctly working through positions. The Intermediate class runs simultaneously with the Advanced class in a different studio at Baird Ballet. The Advanced class runs simultaneously with the Intermediate class in a different studio at Baird Ballet.This workshop will begin at 1:30 pm. ADVANCED CLASS: For students who have had 5 or more consecutive years of classical ballet training in a school setting. This class includes rigorous barre and center exercises. this workshop will begin at 6:30 pm.

Please share your student's dance experience including years and styles of dance

Phone Number

Email Address

Street Address

City

State

zip code

Additional Emergency Contact

Phone number of Additional Emergency Contact

Emergency Contact's relation to the student

If the student, have a serious medical condition that the instructors of this workshop need to be aware, please explain here:

I/We hereby release Baird Ballet, ShowSavvyProductions, Ballet Magnificat! and host studio/sponsor, their agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by the above-named applicant during the workshop. I/We hereby release Baird Ballet, ShowSavvyProductions, Ballet Magnificat! and host studio/sponsor, their agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by the above-named applicant during the workshop. Agree Disagree

I grant to ShowSavvyProductions, Baird Ballet and Ballet Magnificat!, their employees, agents and assignees, the right and permission to make reuse and/or publish photographic pictures or video tapings of me/my child, which may be used in connection with my own or a fictitious name for any purpose whatsoever including the use of any printed matter. I waive any right to inspect or approve either the finished photograph or video or the printed matter or video with which it may be used in conjunction. I grant to ShowSavvyProductions, Baird Ballet and Ballet Magnificat!, their employees, agents and assignees, the right and permission to make reuse and/or publish photographic pictures or video tapings of me/my child, which may be used in connection with my own or a fictitious name for any purpose whatsoever including the use of any printed matter. I waive any right to inspect or approve either the finished photograph or video or the printed matter or video with which it may be used in conjunction. Agree Disagree