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2023-2024 Season
Nutcracker 2023
Wizard of Oz 2024
Summer Intensive 2024
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Home
2023-2024 Season
Nutcracker 2023
Wizard of Oz 2024
Summer Intensive 2024
The Company
About
Community Outreach
News & Updates
Our Staff
Our Board
Support Us
Donations
Sponsorship Levels
Advertising Opportunities
Sponsors and Patrons
Stories & Galleries
The Nutcracker
Cinderella
Coppelia
Sleeping Beauty
Swan Lake
Wizard of Oz
Store
Contact Us
Summer Intensive Registration
If you exit this page before completing registration it will not save your information
Parent First Name
Parent Last Name
Phone Number
Parent Email
Alternate Parent First Name
Alternate Parent Last Name
Alternate Phone Number
Alternate Parent Email
Dancer's must be 8-18 years old to participate in Summer Intensive.
Dancer First Name
Dancer Last Name
Dancer's Email (optional)
Dancer's age
Gender
Male
Female
Dancer must have at least 2 years of dancing experience to participate in the summer intensive.
Years of Dance
Name of your current dance studio
Dancing Experience
Ballet Technique
Pre-Pointe
Pointe
Jazz
Contemporary
If possible, would you be interested in a private lesson with a guest teacher?
Yes
No
Other Experience
Allergies
Does West Michigan Youth Ballet have your authorization to use photographs of your student in promotional material?
Yes
No
WAIVER of LIABILITY AND ASSUMPTION OF RISK I, the undersigned parent/guardian of the above-named student (the “Student”), hereby consent to the participation of the Student in all activities of West Michigan Youth Ballet (“WMYB”). I understand that any student dancer participating in WMYB takes certain risks including, but are not limited to strains, pulled muscles, and broken bones. Participation in WMYB constitutes acceptance of such risk. WMYB and its officers, staff, board members and volunteers (collectively, “Representatives”) take no responsibility for any personal injury or any injury to or loss of property. Knowing the risks associated with participation in WMYB, I, ON BEHALF OF MYSELF AND THE STUDENT, ASSUME ALL RISKS AND RESPONSIBILITIES ASSOCIATED WITH SUCH PARTICIPATION, RELEASE WMYB AND ITS REPRESENTATIVES FROM ANY SUCH RISK AND RESPONSIBILITIES, AND AGREE TO HOLD HARMLESS AND INDEMNIFY WMYB AND ITS REPRESENTATIVES AGAINST ANY PRESENT OR FUTURE CLAIM, CAUSE OF ACTION, LOSS, OR LIABILITY ARISING FROM OR RELATED TO ANY ACTUAL OR ALLEGED PERSONAL INJURY OR DAMAGE TO OR LOSS OF PROPERTY THAT OCCURS (A) DURING OR AS A RESULT OF ANY WMYB DANCE CLASS OR PERFORMANCE, (B) IN CONNECTION WITH STUDENT’S PARTICIPATION IN WMYB, OR (C) OTHERWISE AT WMYB’S FACILITIES.
WMYB and WMYB’s Artistic Director has final decision as to whether the Student can continue rehearsing or performing following any actual or potential injury. While I understand that WMYB will take appropriate steps to notify me of any injury, I hereby authorize WMYB to perform or direct whatever medical treatment is appropriate for the Student, in WMYB’s discretion. I understand and agree that WMYB will in no event be responsible for the cost of any medical treatment.
I HAVE READ AND UNDERSTAND THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK, AND HAVE SIGNED IT VOLUNTARILY.
By selecting yes, I have read and understand this waiver of liability and assumption of risk.
Yes
No
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