Junior Summer Intensive

A two week, full day, intensive program led by VAB’s internationally experienced and award winning faculty. Classes are offered in ballet, character, contemporary and preparation for pointe. The Junior Summer Intensive is for students with previous dance experience who wish to take their technique to a new level in this fun and action packed Intensive! The program culminates with an in-studio demonstration for family and friends of choreography learned throughout the two weeks.

*Away on holidays for one of the weeks? Ask us about just attending the first or second week.

Junior Summer Intensive B

(Ages 7 to 9)

VAB current level 1

July 8-19, 2019

11:00-3:30pm

Monday-Friday

$750*

Junior Summer Intensive A

(Ages 9 to 13)

VAB current level 2, 3, 4, 5

July 8-19, 2019

9:30-3:30pm

Monday-Friday

$900*

Commemorative VAB Summer 2019 Tshirt

All proceeds go to the VAB Scholarship Society for bursaries and scholarships

$25

* Please note, fee indicated is for domestic students only. Contact admin@victoriaacademyofballet.ca for information on international rates and registration information.

Registration:

Student Name (AS APPEARS ON PASSPORT):*

First

Last

Gender*

Female

Male

Date of birth (dd/mm/yyyy)*

Age*

Student E-mail:

Parent/Guardian Information

Primary Parent Name:*

First

Last

Primary Parent Address:*

Street Address City State / Province / Region Postal / Zip Code Country

Home Phone:

Area Code

Phone Number

Cell Phone:*

Area Code

Phone Number

E-mail:*

Secondary Parent Name:

First

Last

Secondary Parent Address:

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Secondary Parent E-mail:

Secondary Parent phone

Previous Dance Training

Current Dance School*

Years of ballet*

Years on pointe*

Last Successful Examination

Year Taken

Result

Are you interested in attending VAB in the fall?*

Yes

Program Registration

Medical Authorization and Release

Medical Conditions and Allergies*

Current Medications*

Musculoskeletal Injuries (Past or Present)*

MEDICAL INSURANCE IS MANDATORY IN CANADA and mandatory for participation in Victoria Academy of Ballet (“VAB”) programs. Participants in VAB programs, or their guardians, must assume the risk of injury associated with participation in rigorous physical activity programs, including but not limited to slips, falls, incidental contact, and any injuries, damage, and expenses resulting therefrom. By participating in a VAB program, I hereby assume said risk and release VAB and its officers, directors, employees, contractors, agents, students, host families, affiliates, and assigns from liability for injury, damage, medical expenses, other expenses, and costs, however arising.

All students are responsible for ensuring that they have and maintain medical coverage either with British Columbia or their home province.

Personal health care number*

Province of care card*

I authorize VAB or its representative to authorize necessary medical treatment for me if I am unable to give authorization and consent at the time. If under the age of 19, the parent and/or guardian cannot be contacted or reached in a timely manner to authorize medical treatment, I hereby authorize VAB or its representative to authorize necessary medical treatment where such treatment is recommended by hospital staff or a physician.

Agree

If there are treatments which I am not willing to authorize under any, including potentially fatal, circumstances, those treatments are:

If VAB authorizes treatment under the foregoing authorization, I hereby release, on my own behalf and on behalf of the student, of whom I am the legal guardian, VAB and its officers, directors, employees, contractors, agents, students, host families, affiliates, and assigns from liability for injury, damage, medical expenses, other expenses, and costs, however arising.

This authorization and release shall be valid for the full duration of the student’s participation in any Victoria Academy of Ballet program.

Agree

Homestay Information

Authorization, Policies and Agreements

Privacy Policy

All personal information provided by dance students and /or parents is strictly confidential and will be shared only with VAB staff as required.

International students:

Personal information about students will be shared with host families on a 'need to know' basis. Host families are cautioned about privacy requirements as outlined in the Host Family Agreement. Individual and group orientation meetings are held regularly. At these meetings, privacy concerns are addressed.

I understand that although Canada and its communities are very safe by world standards, and that my child will be generally supervised both at VAB and by the homestay family, such supervision will not be constant and the child's constant safety cannot be guaranteed.

Terms & Conditions

Any fees are non refundable.
VAB accepts no responsibility for any loss or damage to the personal belongings or property of VAB students.
If the applicant is under the age of 19 years, the application must be signed by the parent or legal guardian.
Students must comply with the policies, procedures and rules of VAB. Failure to comply with any of such policies, procedures and/or rules of VAB may result in dismissal.
General programs do not require approval under the Private Training Act
A student may not file a claim against the fund with the trustee in respect of the program of instruction.
Host Family Conduct / Behaviour outside the Home & School

I understand and agree to follow the Host Family guidelines outlined in the Student Orientation Manual, and the house rules of my host family.
I agree not to move from my assigned Host Family and that any move to another Host Family is arranged through the Host Family Supervisor.
In the event of a problem or disagreement with my Host Family, I agree to notify the Host Family Supervisor promptly who will attempt to resolve any concerns.
I will cooperate with my Host Family and respect their rules and guidelines.
If I want to travel outside the Greater Victoria Region in Canada, I will complete the Travel Request Form, with my Host parents, two weeks before departure to ask permission from the Program Principal and Director.
I agree not to visit such places as pornographic websites, adult theatres, bars, lounges, or night clubs where alcoholic beverages are served.

Laws, Rules & Regulations

I agree to abide by the laws of Canada and British Columbia.
I will always respect cultural differences and understand that Canada is a multicultural country. I understand that discrimination based on nationality, gender, and political or religious affiliations is illegal in Canada.
Any behavior by the student to another student or staff member considered as emotional abuse, physical abuse, sexual abuse, harassment, or bullying could result in dismissal.
I will always be respectful to staff and other students. I will refrain from gossiping and spreading rumors directly through conversation, by email or through social media sites such as Facebook, Twitter, etc.
I agree to reside with a Homestay Family selected through VAB or in an accommodation approved by the program if I am not living with my parent/guardian if I am under the age of 19.
I agree not to purchase, use, or have in my possession, which includes, without limitation, my Host Family premises and/or school lockers: any drugs not prescribed to me by a doctor. This includes all hallucinogenic substances but does not include non-prescription remedies for minor illnesses such as colds.
I agree not to purchase, use, or have in my possession, which includes, without limitation, my Host Family premises and/or school locker; any alcoholic beverages.
I agree to respect the property of others and understand that any theft or vandalism is a breach of the law.

I agree to uphold the image of a professional dancer at all times, as I represent VAB
If English is not my first language, I agree to speak English to the best of my ability in all areas of the VAB.

Parental Agreement

I give permission for my child to take part in all programs sponsored by the VAB. This includes school field trips, and recreational activities organized by VAB Program staff.
In case of serious infractions of program rules as outlined in the Student Agreement for VAB, I understand that my child may be required to return home. In this situation, I understand that there will be no refund of program fees and that I will be financially responsible for my child's return home.
I agree, should it become necessary, to the return home of our son/daughter for serious medical reasons. In this case, I understand that I am responsible for travel expenses.
I will discuss with our son/daughter, their responsibilities as an Out of Province/International student as outlined in the Student Agreement for the VAB International Student Program.
I understand that Canada is a multi-cultural country and that customs and traditions of families may be different from my own. I understand that discrimination, based on race, philosophy, or religion is illegal in Canada.
I hereby waive and release, on my own behalf and on behalf of the student, of whom I am the legal guardian, and absolve and agree to indemnify VAB, the Host Family, and all Program employees and contractors, from all liability arising from my child's participation in the program.

I permit VAB to use photographs or images of my child in promotional materials.

I permit VAB to contact me via email.

We/I understand that in order to teach and correct dance movement and technique, physical contact between the student and teacher is necessary. Such contact is consented to by the student and/or the parent/guardian. VAB ensures that such contact is applied in a professional manner and is required for dance correction and instruction.
I have read and agree to abide by all policies as laid out in the VAB General Studio Policies document.
I hereby release, on my own behalf and on behalf of the student, of whom I am the legal guardian, VAB and its officers, directors, employees, contractors, agents, students, host families, affiliates, and assigns from liability for injury, damage, medical expenses, other expenses, and costs, however arising, in relation to my child’s participation and involvement with VAB

By agreeing to this Application, we hereby attest to the accuracy of the information provided herein, and agree to all terms and releases and give all authorizations contained herein

Authorization, Verifications and Signatures

We acknowledge that if our child's personal, educational or homestay needs are greater than those disclosed in the application process, the VAB has the right to charge for extra support if available, or to send the student home at the parent's expense.
We are aware that any inaccuracy in this application or the deliberate withholding of essential information will be grounds to permit VAB at its option, to terminate this agreement and send the student home at the parent's expense.
The agreement between the school and the parents of a student in the program will be interpreted in accordance with the laws in the province of British Columbia and any litigation involving interpretation of the agreement will be conducted in British Columbia, Canada.
I/we understand and acknowledge that the VAB refund policy is as follows:

(a) Full Refund (less application fees) if Canadian Immigration does not approve a student authorization. All refund requests must include the formal letter of refusal from Canadian Immigration and the original letter of acceptance issued by the International Student Program

(b) Students leaving the program for whatever reason after their school start date are not entitled to a refund.

By agreeing to this Application, we hereby attest to the accuracy of the information provided herein, and agree to all terms and releases and give all authorizations contained herein.

Agree*

Yes

Date of Agreement:*