Name
*
First Name
Last Name
Pronouns
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birth Date
*
Must be 18 years of age of older on audition date
MM
DD
YYYY
I am registering for the:
*
Fall Season
Spring Season
Is this your first season dancing with DanceWorks Boston?
*
Yes
No
Referred by:
*
Current / Former Dancer
Google Search
Facebook
Instagram
Tik Tok
Friend / Colleague
If referred by a Current Dancer, please write there name here
Emergency Contact Name (and Relation)
*
Emergency Contact Phone Number
*
(###)
###
####
Always Learning
*
I agree to cultivate inclusivity and anti-racist virtues through respectful, cultural engagement, understanding, and continued learning.
Photos & Video
*
I acknowledge that all images and video are property of DanceWorks LLC. These images and video are intellectual property owned by DanceWorks LLC and cannot be further cropped, edited, or used to market or advertise for any other organization, company, or person.
Photos / Videos at PhotoWorks & Events
*
I acknowledge that any behind the scenes photos/video I take at DanceWorks events (including, but not limited to, PhotoWorks day, Rehearsals, Tech, Show), are for personal use or to promote DanceWorks only. I acknowledge that DanceWorks hires a professional photographer & videographer, and that I will not bring my professional camera/video equipment to events. BTS photos/videos taken at DanceWorks events should not be used to market or advertise yourself for any other organization, company, or person, other than DanceWorks.
I am providing my electronic signature below to acknowledge that I have read and understood the Accident Waiver & Release of Liability Form as well as the Health, Safety, and Social Agreements
*
By selecting "I Accept", you agree your electronic signature (above) is the legal equivalent of your manual signature on this Agreement.
*
I ACCEPT