OPEN DIVISON | SESSIONAL CLASSES
BALLET & JAZZ COMBO – KIDS

The Ballet & Jazz Combo for Kids class focuses on inspiring students and instilling a love for music, dance, and self-expression. These 45 minute classes will be fun, fast-paced combination of ballet and jazz.

*Students must be the listed age as of September 2023.

SCHEDULE

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

> Monday 5:00PM – 5:45PM Ages 4-5

COST

$150 per class/session (Monday Class)

LEARN MORE ABOUT FEES

UNIFORM REQUIREMENTS

LEARN MORE ABOUT UNIFORMS

REGISTRATION

Program SelectionStep 1 of 8

Program Selection *

Session 1: Ballet and Jazz Combo Kids - Monday | Ages 4-5

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?

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.

I have chosen to vaccinate my child: *

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

PRIMARY PARENT/GUARDIAN

Primary Parent/Guardian First Name *

Primary Parent/Guardian Last Name *

Primary Parent/Guardian Address *

Address Line 1

City

State / Province / Region

Zip / Postal Code

Country

Primary Parent/Guardian Cell Phone *

Primary Parent/Guardian Home Phone

Primary Parent/Guardian Email *

*The primary parent/guardian email will be the email kept on file. We rely heavily on email communications so please ensure this information is correct.

SECONDARY PARENT/GUARDIAN

Secondary Parent/Guardian First Name

Secondary Parent/Guardian Last Name

Secondary Parent/Guardian Address

Address Line 1

City

State / Province / Region

Zip / Postal Code

Country

Secondary Parent/Guardian Email

Secondary Parent/Guardian Phone

Message

OPEN DIVISON | SESSIONAL CLASSESBALLET & JAZZ COMBO – KIDS

SCHEDULE

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

> Monday 5:00PM – 5:45PM Ages 4-5

COST

$150 per class/session (Monday Class)

UNIFORM REQUIREMENTS

REGISTRATION

PRIMARY PARENT/GUARDIAN

SECONDARY PARENT/GUARDIAN

AGREEMENTS

OPEN DIVISON | SESSIONAL CLASSES
BALLET & JAZZ COMBO – KIDS