North Pointe Ballet · 2024 Summer Youth Training Drop-In Form

Contact Information

Dancer Name

*

First Name

Last Name

Dancer Age

*

Regular Dance Studio

*

Dancer Gender

Male

Female

Non-binary

Unknown

Decline to state

Other

Dancer Race

Asian/Asian Americans/Pacific Islander

Black/African American/African

Hispanic/Latino/Latina/Latinx

Native American/American Indian/Indigenous

White/Caucasian/European

Multi-Racial or Multi-Ethnic (2 or more races or ethnicities)

Unknown

Decline to state

Other

Does the dancer have any disabilities, allergies, or other necessary accommodations?

Parent Name

*

First Name

Last Name

Parent Email

*

Verify Email

*

Parent Phone Number

*

Level Dropping Into:

*

Intermediate

Advanced

PreProfessional

Date(s) Dropping In:

*

PLEASE NOTE, there are NO classes the week of July 29 - August 2.

Payment

Please select from the following payment options. If you wish to pay for multiple drop-in days at once, please multiply the drop-in rates shown below by the number of days you plan to drop-in. Then enter that amount in the blank payment option box.

$15 - drop-in for Advanced/PrePro elective class

$30 - drop-in for Intermediate Session or Advanced/PrePro ballet technique

$45 - drop-in for Advanced/PrePro Session full day

$

I do not wish to pay online but will pay by cash or check by the following date:

I, the purchaser, agree:

*

TO ASSUME ALL RISK AND DANGER INCIDENTAL TO EVENT, CLASS OR TRAINING WHETHER OCCURRING PRIOR TO, DURING, OR AFTER SAID EVENT.

TO ASSUME ALL RISK AND DANGER OF INJURY AND ILLNESS AND AGREE THAT THE MANAGEMENT -- North Pointe Ballet, and associated parties for those organizations--ARE NOT RESPONSIBLE OR LIABLE FOR ANY INJURIES OR ILLNESS RESULTING FROM SUCH CAUSES.

THAT NORTH POINTE BALLET HAS TAKEN REASONABLE MEASURES TO ENSURE MY SAFETY.

THAT MY NAME, LIKENESS, IMAGE, APPEARANCE, AND/OR PERFORMANCE MAY BE RECORDED IN PHOTOGRAPHIC, AUDIO, OR VIDEO AS A RESULT OF REHEARSING AND PERFORMING WITH NORTH POINTE BALLET (NPB). I GRANT NPB AND ITS AFFILIATES THE RIGHT TO USE THOSE RECORDING IN ANY FORMAT, NOW OR LATER DEVELOPED.