OPEN DIVISON | SESSIONAL CLASSES
ADULT BALLET

Adult Ballet classes are for students at a beginner to intermediate level. These classes will explore the fundamentals of ballet technique while developing strength, coordination, and a love for the arts.

SCHEDULE

SESSION 1: September 16, 2023 – December 2, 2023

> ADULT BALLET BEGINNER Monday 7:15PM – 8:30PM

> ADULT BALLET INTERMEDIATE Friday 7:15PM – 8:30PM

COST

$200 per class/session (Monday Class)

$220 per class/session

*Discount applies when registering for 2 or more classes.

UNIFORMS

REGISTRATION

Program SelectionStep 1 of 6

Program Selection *

Session 1: Adult Ballet Beginner - Monday
Session 1: Adult Ballet Intermediate - Friday

*Please select as many as applicable.

We are looking for Host Families! Victoria Academy of Ballet hosts students from around the world for 2 weeks up to 11 months of the year. Host Families provide a caring and supportive environment, while receiving monthly remuneration and experiencing the dance world first-hand. Are you interested in becoming a Host Family or receiving more information about becoming a Host Family?

Yes

Student Status: *

Student First Name *

Student Preferred Name (if applicable)

Student Last Name *

Student Age *

*PLEASE NOTE: Your student must be the listed age as of January 1st, 2023. Thank you!

Student Date of Birth *

*PLEASE NOTE: Your student must be the listed age as of January 1st, 2023. Thank you!

Student Gender *

Student Pronouns *

Example: She/Her, He/Him, They/Them

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Email *

Phone *

Medical Conditions or Allergies *

Please include any important medical conditions or allergies that would be important for VAB to know.

Current Medications *

Please include any current medications your student is on and that VAB should be aware of.

Musculoskeletal Injuries (Past or Present) *

Please include any musculoskeletal (muscle or bone) injuries.

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. *

I Agree

Student Personal Health Care Number *

Province where Personal Health Care Number was issued *

State / Province / Region

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. *

I 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/or on behalf of the program participant 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. *

I Agree

Phone

OPEN DIVISON | SESSIONAL CLASSESADULT BALLET

SCHEDULE

SESSION 1: September 16, 2023 – December 2, 2023

> ADULT BALLET BEGINNER Monday 7:15PM – 8:30PM

> ADULT BALLET INTERMEDIATE Friday 7:15PM – 8:30PM

COST

$200 per class/session (Monday Class)

$220 per class/session

*Discount applies when registering for 2 or more classes.

UNIFORMS

REGISTRATION

AGREEMENTS

OPEN DIVISON | SESSIONAL CLASSES
ADULT BALLET