2018 The Nutcracker Enrollment One form per student – Please print Student’s Name: Age: Birth Date: Grade: School: District: Primary E-Mail: Alt. E-Mail: Parents Name: Cell Phone #: Alt Phone #: Injury Waiver , the parents of , hereby represent to Artisan Ballet Company that he/she (the student) is in good health and has no history of any medical or physical condition(s) that could place the student at risk because of said conditions. The parents hereby acknowledge that they have been informed by Artisan Ballet Company of the nature of the instruction that their child will receive and that such instruction involves physical exercise and stress, which could result in injury. It is further agreed that the parents hereby waive all claims of liability and cannot hold Artisan Ballet Company or its Board of Directors responsible for any injury incurred during the course of instruction. We have received and read the Injury Waiver statement of policy and agree to abide by the conditions set forth herein. Parent’s Signature Date Picture / Video Waiver Artisan Ballet Company uses a variety of resources to publicize our dance program. Please sign below giving permission to use photographs or other electronic images of your child on the Artisan School of Dance / Artisan Ballet Company website, newspapers, marketing brochures, publications, newsletters, or promotional videos (student names will never be published on promotional material without additional permission). Parent’s Signature Date Production and Participation Fee Artisan School of Dance Student♦ Non-Artisan School of Dance PRODUCTION FEE* $250★ $350★ Casting is completed in September. Parts may not be available for late registrants. ★Payment of production fee is due upon registration. No dancer will be cast without payment of production fee. Refunds are made on a case by case basis and, if made, will be net of a $50 administrative fee. Full payment will be refunded if your dancer is not cast. If your dancer rejects the part cast, a $50 administrative fee applies. ♦No additional fees required for Artisan Ballet Company members. Fees are included in Company dues. Company members do not need to complete a registration form. (initials) acknowledge there are no refunds if my dancer becomes ill or drops out for any reason. Checks payable to Artisan Ballet Company, Credit Card or Cash accepted. All Nutcracker participants are required to participate in our Fall Fundraiser (Balderas Tamale Factory). A minimum of 15 dozen tamales must be sold to fulfill this obligation. Participants who do not participate must pay a $100 opt out fee. (initials) agree to participate in fall fundraiser or pay $100 opt out fee *This fee includes registration, participation, choreography, costume rental, and production fees. Performance tickets are not included and must be purchased separately. *Parts are determined by the Artisan staff. Note: The costumes are rented from Artisan Ballet Company. There will be a day for costume fitting(s) for each part. The costumes remain at the studio and will be checked out to the student at the production. Rehearsals may be held on Fridays or Saturdays. If dancer misses excessive rehearsals he or she may be dropped from the production with no refund or recast into another role. Parents Initials Office Use Only Total Amount Due Check No. Cash CC Date Paid
