SPB Virtual Summer Programming Registration

Levels 1-2

Levels 3-8

In order to process your request efficiently, please complete the fields below:

Student Name

First Last

Student Level

Parent Name

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent Email Address

Parent Cell Phone

We thank you in advance for submitting your selections as soon as possible.

Tuition

I understand that I am responsible for the entire tuition of classes for which I have registered. Tuition is non-refundable/non-transferable. Students who have registered for the program and subsequently need to withdraw due to a major injury preventing any dancing, after full payment of fees but prior to June 1st may submit a letter of explanation from a licensed physician; at that time The School of Pennsylvania Ballet will consider credit. The School of Pennsylvania Ballet is not liable or obligated in any way to process any refunds or issue any tuition credits. The registration fee is non-refundable/non-transferable under any circumstances.

Photo Consent

I hereby consent to and authorize the use and reproduction by Pennsylvania Ballet and The School of Pennsylvania Ballet of any and all photographs, recordings, videotapes and/or other reproductions of my child’s likeness for any purpose, whatsoever, without compensation. All images shall constitute the property of Pennsylvania Ballet and The School of Pennsylvania Ballet, solely and completely. Further, I assign and release all rights to said images and authorize Pennsylvania Ballet, or others authorized by them, to exhibit, broadcast, and/or distribute or otherwise further reproduce said images in whole or in part over or in any medium whatsoever, including newsletters, radio, newspapers, film, cable and television.

Medical Consent and Liability Waiver

I am aware that dance and the nature of the training and performing associated with The School of Pennsylvania Ballet place unusual stress on the body and carry with them the risk of physical injury. I shall indemnify, hold harmless and defend Pennsylvania Ballet, its officers, boards, agents and employees, against any and all claims, actions, or suits brought for damages or alleged damages, and from all liability, loss and expense, including reasonable legal expenses, resulting from any injury to person or property or from loss of life sustained by my child while a student at The School of Pennsylvania Ballet or while he/she is fulfilling a role in any Pennsylvania Ballet production or event in which he/she has been invited to participate on or about Pennsylvania Ballet premises or other venue where such activity is taking place including remote learning/online platforms.

Terms and Conditions

I understand that in signing this Registration Form, I am agreeing to accept the guidelines of The School of Pennsylvania Ballet as set forth in this document. The School of Pennsylvania Ballet reserves the right to terminate a student’s enrollment if they are unable to participate in accord with the school expectations of attendance or conduct. I understand that violation of any rule maybe grounds for instant dismissal from the Summer Intensive. In such situation I understand no refund of tuition of fees will be forthcoming.

I understand that by completing and submitting this form, I agree to the selections I have made.