Spring Show Registration
After completing this form, pay applicable fees.
Emergency Contact Information
I agree to hold Benicia Ballet, Inc and Benicia Ballet Theatre (BBT), their premises and personnel harmless for any losses, damages, or liabilities attributable to the negligence of any agent or employee of Benicia Ballet, Inc or BBT or any third party affiliate of the school. The assignee agrees that they have doctor's permission for their child or self to engage in these dance rehearsals and productions and/or the assignee takes sole responsibility for participation in these activities.
PHOTO RELEASE: I hereby grant permission to Benicia Ballet, Inc and Benicia Ballet Theatre to use photographs and/or video taken in 2021-2022 for publications, news releases, online, and in other communications related to our mission.
Consent for Medical Treatment
As the Parent, Agency Representative, Or Legal Guardian, I hereby give consent to Benicia Ballet, Inc and Benicia Ballet Theatre to provide all emergency medical or dental care prescribed by a duly license physician (MD) or dentist (DDS) for:
This care may be given under whatever conditions are necessary of preserve the life, limb, or well-being of my dependent. Please disclose any previous or existing injuries or physical conditions of which Benicia Ballet, Inc and Benicia Ballet Theatre needs to be aware. Also list any medication allergies.
Audition and Contract Fees
I agree to pay all audition and contracts fees when due. Fees can be paid through the BBT store or at the audition. At the audition, we can accept check, credit/debit card, and exact cash payments.
Family Contract Dancers: Both the costume fee and half of the contract fees are due Jan. 21, 2023
$25.00 - Costume Fee.
$90.00 - Family Contract Fee - Dancers aged 3 - 4. Amount due by Jan. 21: $45.00.
$125.00 - Family Contract Fee - Dancers aged 5 - 9. Amount due by Jan. 21: $62.50.
$175.00 - Family Contract Fee - Dancers aged 10 and older. Amount due by Jan. 21: $87.50.
Company Contract Dancers: Verify with BBT Treasurer Stuart Smith at firstname.lastname@example.org for balances due for the Spring Show.
I agree to participate in any fundraising event held by BBT to support the production of the performance.
Families can buy out their fundraising obligations with a payment of $120.00.
If a dancer withdraws from the Spring Show performance, refunds will be based on the following date schedule:
February 15 - All Contract fees for the performance will be refunded.
March 1 - Any payments exceeding 50% of total Contract fees owed for the performance will be refunded.
March 16 - No refunds for the performance will be provided.
The Audition/Costume fee is not refundable.
Unable to Attend Audition
Your Registration is Complete