Houston Ballet Academy employs the most thoroughly trained instructors for each class and audition. Utmost care will be given to all students. However, Houston Ballet will not be responsible for loss or injury to any student. My child is in excellent physical health and physically able to attend the Academy's programs. When registering to attend classes at the Houston Ballet you are agreeing to the Media Policy set forth by the organization. In signing of this form (registering), the student or parent/guardian gives permission for an indefinite period of time for their child, or themselves if over 18, to be photographed, filmed, and/or interviewed in a Houston Ballet supervised environment for the sole purpose of promotions for the Academy and/or Company.
The Cardholder's Name will auto populate as the student's name for the purposes of database reporting.
I have read, understand, and agree to the above statements.
Please accept the terms & conditions to submit this form.