Danceartist s Ballet Academy

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1 Gain Knowledge, Skills and Confidence Address; Maironis Facility 52 Sth Quinsigamond Ave, Shrewsbury, Massachusetts USA Phone: Ballet Academy 2016 Summer Intensives Director Joanna Duncan RTS ARAD Solo Seal is a registered School with the Royal Academy of Dance massachusetts July Summer Intensive 1 5 day Intensive Tuesday July 5th to 9th August Summer Intensive 2 4 day Intensive Wednesday Aug. 10th to 13th August Summer Intensive 3 7 Day Intensive Monday Aug. 15th to 21st Danceartist s Ballet Academy July Summer Intensive Workshops 2 days A / Friday July 15th & 16th B / Friday July 22nd & 23rd C / Friday July 29 & 30th Online Enrollment Registration Forms: summer-intensives

2 is a recognized United Nations Education, Scientific and Cultural Organization International Dance Council Member dedicated to the Education of Ballet to Children and Adults from all walks of life Intermediate Foundation Summer Intensives Ballet Course equivalent Vaganova Level 1/2 Secondary Heading 11am to 2.45pm Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diem nonummy nibh euismod tincidunt ut lacreet dolore magna July 5 day Summer Intensive 1 $200 July 2 day Workshop A $100 July 2 day Workshop B $100 day Workshop $100 Ut wisi enim ad minim veniam,july quis nostrud2 exerci taion ullamcorper suscipit lobortis nislc ut aliquip ex en commodo consequat. Duis te feugifacilisi per suscipit lobortis nisl ut aliquip ex en commodo consequat. Lorem ipsum dolor sit amet, consectetuer adipiscing August 4 day Summer Intensive 2 $190 elit, sed diem nonummy nibh euismod tincidunt ut lacreet dolore magna aliguam erat volutpat. Ut wisis enim ad minim veniam, quis nostrud exerci tution ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat. Duis te feugifacilisi. August 7 day Summer Intensive 3 $300 aliguam erat volutpat. Ut wisis enim ad minim veniam, quis nostrud exerci tution ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat. Duis te feugifacilisi. Duis autem dolor in hendrerit in vulputate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit au gue duis dolore te feugat nulla facilisi. Sec ond ary He adi ng trained Students at John Neumeiers Hamburg Ballet Duis autem dolor in hendrerit in vulputate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit au gue duis dolore te feugat nulla facilisi. Ut wisi enim Lorem ipsum ad minim veniam, quis nostrud exerci taion ullamcorper suscipit lobortis nisl ut aliquip ex en commodo consequat. dolor sit amet, Intermediate Summer Intensive Ballet Course equivalent Vaganova Levels 2/3 9.00am to 1.15pm Main Inside Heading The most important information is included here on the inside panels. Use these panels to introduce your organization and describe specific products or services. This text should be brief and should entice the reader to trained Students at the Royal Ballet School want to know more about the product or service. London consectetuer adipiscing elit, sed diem nonummy nibh euismod July 5 day Summer Intensive 1 $200 July 2 day Workshop A $110 July 2 day Workshop B $110 July 2 day Workshop C $110 August 4 day Summer Intensive 2 $190 August 7 day Summer Intensive 3 $300 You can use secondary headings to organize your text to make it more scannable for the reader. Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diem nonummy nibh euismod tincidunt ut lacreet July /August Summer Intensive Weeks Summer Intensive Workshops Royal Academy of Dance Classical Ballet Courses Classical Ballet Variations Set Classical Ballet Variations Sleeping Beauty, Le Corsaire, Coppelia, Don Quixote Neo Classical Contemporary Ballet Master Series Studying the works & selected Variations Matts Ek Sleeping Beauty / Appartement John Neumeier's - Mid Summer Night s Dream Juri Kylian - Sarabande Sue Healey - Lines dolor et accumsan et iusto odio dignissim qui mmy nibh euismod tincidunt ut lacreet dolore magna aliguam erat volutpat. Online Enrollment Registration Forms: copyright Advanced Foundation Summer Intensive Ballet Course equivalent Vaganova Level 3/ to 2.30pm July 5 day Summer Intensive 1 $275 July 2 day Workshop A $120 July 2 day Workshop B $120 July 2 day Workshop C $120 August 4 day Summer Intensive 2 $250 August 7 day Summer Intensive 3 $350 Advanced Ballet Summer Intensive Advanced 1 & 2 equivalent Vaganova Levels to 5.30pm July 5 day Summer Intensive 1 $350 July 2 day Workshop A $150 July 2 day Workshop B $150 July 2 day Workshop C $150 August 4 day Summer Intensive 2 $300 August 7 day Summer Intensive 3 $400 Private Coaching Courses 6 x 1 hr- $ x 1 hour $700 danceartistscc@gmail.com Caption describing picture or graphic.

3 Ballet Academy -Summer Intensives 2016 Registration Payment Form BALLET TRAINING PROGRAM Technical Levels: Advanced 1 - Advanced 2 equivalent Vaganova levels 5 to 8 All checks /money orders please pay to: 52 South Quinsigamond Ave, Shrewsbury Massachusetts USA Credit card payments please direct all payments via Paypal to management@gmail.com 3% surcharge Enrollment Forms including medical and waivers please mail or to: danceartistscc@gmail.com Advanced Warm Up Contemporary Ballet Master's Series Advanced Pointe Lunch Master Set Variations / Alternate Pas de deux Advanced 1 Ballet /Level Advanced 2 Ballet Level 7/8 Registration Name.. . Phone Address.... Referring Teacher / Coach ( if applicable). Please circle selection: $ July 5 day Summer Intensive 1 $ July 2 day Workshop A $ July 2 day Workshop B $ July 2 day Workshop C $300.00August 4 day Summer Intensive 2 $ August 7 day Summer Intensive 3 or $ Daily Rate Please indicate dates from the existing Intensives dates above $... $ Private Coaching Courses 6 x 1hr lessons $70 each Minimum Summer purchase $ Private Coaching Course 10 x 1 hour $70 $...Total Signature

4 Ballet Academy -Summer Intensives 2016 Registration Payment Form BALLET TRAINING PROGRAM Technical Levels: Advanced Foundation equivalent Vaganova levels 4 to 5 All checks /money orders please pay to: 52 South Quinsigamond Ave, Shrewsbury Massachusetts USA Credit card payments please direct all payments via Paypal to management@gmail.com 3% surcharge Enrollment Forms including medical and waivers please mail or to: danceartistscc@gmail.com Advanced Foundation Warm Up Neo Classical Contemporary Ballet Choreographers Master's Series Advanced Pointe Lunch Advanced Foundation /Level Registration Name.. . Phone Address.... Referring Teacher / Coach ( if applicable). Please circle selection: $ July 5 day Summer Intensive 1 $ July 2 day Workshop A $ July 2 day Workshop B $ July 2 day Workshop C $250.00August 4 day Summer Intensive 2 $ August 7 day Summer Intensive 3 or $75.00 Daily Rate Please indicate dates from the existing Intensives dates above $... $ Private Coaching Courses 6 x 1hr lessons $70 each Minimum Summer purchase $ Private Coaching Course 10 x 1 hour $70 $...Total Signature

5 Ballet Academy -Summer Intensives 2016 Registration Payment Form BALLET TRAINING PROGRAM Technical Levels: Intermediate equivalent Vaganova levels 2 to 3 All checks /money orders please pay to: 52 South Quinsigamond Ave, Shrewsbury Massachusetts USA Credit card payments please direct all payments via Paypal to management@gmail.com 3% surcharge Enrollment Forms including medical and waivers please mail or to: danceartistscc@gmail.com Intermediate am Warm Up Intermediate Neo Classical Contemporary Ballet Choreographers Master's Series Pointe Registration Name.. . Phone Address.... Referring Teacher / Coach ( if applicable). Please circle selection: $ July 5 day Summer Intensive 1 $ July 2 day Workshop A $ July 2 day Workshop B $ July 2 day Workshop C $190.00August 4 day Summer Intensive 2 $ August 7 day Summer Intensive 3 or $61.25 Daily Rate Please indicate dates from the existing Intensives dates above $... $ Private Coaching Courses 6 x 1hr lessons $70 each Minimum Summer purchase $ Private Coaching Course 10 x 1hr lessons $70 each $...Total Signature

6 Intermediate Foundation Contemporary Ballet Master Series Pointe Lunch Inter. Foundation Ballet Registration Ballet Academy -Summer Intensives 2016 Registration Payment Form BALLET TRAINING PROGRAM Technical Levels: Intermediate equivalent Vaganova levels 2 to 3 All checks /money orders please pay to: 52 South Quinsigamond Ave, Shrewsbury Massachusetts USA Credit card payments please direct all payments via Paypal to management@gmail.com 3% surcharge Enrollment Forms including medical and waivers please mail or to: danceartistscc@gmail.com Name.. . Phone Address.... Referring Teacher / Coach ( if applicable). Please circle selection: $ July 5 day Summer Intensive 1 $ July 2 day Workshop A $ July 2 day Workshop B $ July 2 day Workshop C $190.00August 4 day Summer Intensive 2 $ August 7 day Summer Intensive 3 or $52.50 Daily Rate Please indicate dates from the existing Intensives dates above $... $ Private Coaching Courses 6 x 1hr lessons $70 each Minimum Summer purchase $ Private Coaching Course 10 x 1hr lessons $70 each $...Total Signature

7 Danceartist s 2016 Summer Intensive WAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in any way in Management, Ballet Academy related events and activities, the undersigned: 1a. I Agree as the participant that I will inspect the facilities and equipment to be used, and I believe anything is unsafe, I will immediately advise supervisor (advisor, manager, etc.) of such condition(s) and refuse to participate. 1b. Agree that the parent(s) and/or legal guardian(s) of the participant should inspect the facilities and equipment to be used, and if the parent or guardian believes anything is unsafe, he or she should immediately advise supervisor (advisor, manager, etc.) of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that each member/participant will be engaging inactivities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence but the action, Inaction, and negligence of others, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue- Management, Ballet Academy its affiliated clubs, their respective administrators, directors, agents, and other employees of the organization, other members/participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors or premises used to conduct the event,all of which are hereinafter referred to as "releases," from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death and damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise. I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY. Name of Member/Participant (print) Date Name of Parent/Guardian (print) Date Parent/Guardian Relationship (print) Date Signature of Parent/Guardian Date Signature of Participant if age 18 Date Address of Member/Participant Telephone Number of Participant / Parent or Guardian

8 Consent for Medical/Surgical Care/Emergency Treatment and Child s Medical Information In presenting my son/daughter for diagnosis and treatment Name: for Mother Father Legal Guardian Son Daughter of years of age, hereby voluntarily consent to the rendering of such care, including diagnostic procedures, surgical and medical treatment and blood transfusions, by authorized members of the hospital staff or their designees, as may in their professional judgment be necessary. I hereby acknowledge that no guarantees have been made to me as to the effect of such examinations or treatment on my child s condition. I have read this form and certify that I understand its contents. We/I hereby give our (my) consent to (Name of Person/Agency) who will be caring for our (my) child (Name of Child) for the period to to arrange for routine or emergency medical/dental care and treatment necessary to preserve the health of our (my) child. We/I acknowledge that we are (I am) responsible for all reasonable charges in connection with care and treatment rendered during this period. Name: Family physician: Address: Pediatrician: Surgeon: Telephone no.: Orthopedist: Name of health insurance carrier: Child s allergies, if any: Date of last tetanus booster: Group no.: Medicines child is taking: Agreement no.: Signature: Date: Mother, Father or Legal Guardian Witness: Date: In case of emergency I can be reached at: