Young Artist's Name *

First Name

Last Name

Name of Parent or Guardian *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Applicant's Date of Birth *

MM

DD

YYYY

Audition Registration *

The NYC audition is on Saturday, February 4 from 2-4pm. at Open Arts Studio in Brooklyn. It is strongly recommended that you audition in person to be considered for a scholarship to the Young Artists Program. Other audition locations and dates London, UK 1/14 Brooklyn, NY 2/4 Billings, MT 1/21 Amherst, MA 1/22 Boise, ID 1/27 & 1/28 Barcelona, Spain 3/18 email: openartsstudioic@gmail.com for specific locations and times.

I will attend

I will not be there and will send a video

Emergency Contact (1 of 2) *

We require every Young Artist Program participant to provide two emergency contacts.

First Name

Last Name

Phone

(###)

###

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Emergency Contact (2 of 2) *

We require every Young Artists Program participant to provide two emergency contacts

First Name

Last Name

Phone

(###)

###

####

Liability Agreement *

I understand that Dance Italia, its faculty, staff members and acting agents are not responsible for the loss or damage of all and any personal property while in attendance at the Workshop.

I agree.

Injury Release

I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Dance Italia, it’s officers, agents, employees, instructors, subsidiaries, and all affiliated entities.

I agree.

Refund Policy

I understand that if the program is canceled due to COVID pandemic restrictions, I will receive a full refund of my €500 deposit and tuition balance payments. *Please note that the deposit is refundable only if we are forced to cancel our program. After June 1, 2023, 25% of the remaining tuition fee will be refunded for medical reasons only and must be verified with medical documentation. No refunds will be given after the Workshop has begun for any reason.

I agree.

Are you fully vaccinated against COVID-19?

We strongly recommend full vaccination against COVID-19. We follow the guidelines of the CDC regarding COVID protocol. If travel restrictions change in the weeks leading up to the program, and the EU or Italy require proof of vaccination against COVID-19 to enter, and you are NOT vaccinated, you will not receive a tuition refund. If you are unvaccinated, you must send proof of a negative COVID test THREE days before departure.

My child is vaccinated against COVID-19

My child will be fully vaccinated against COVID-19 before July 26, 2022.

My child has received a booster shot.