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Oct 13-22, 2023

Jekyll & Hyde

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816.931.8993
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  • Tickets & Events
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  • Community
  • Support
  • Connect
  • Resources
  • School
  • All Performances & Events
  • 23-24 Season
  • Subscribe
  • Parking
  • Gift Certificates
  • Seating Charts
  • Pre-Performance Programs
  • Locations
  • FAQs
  • About Kansas City Ballet
  • Our People
  • Meet the Dancers
  • Bolender Center
  • South Campus
  • Company Auditions
  • Careers
  • Our Impact
  • For Schools
    • Educational Performances
    • Lecture Demonstrations
    • Dance in Schools (R.O.A.D.)
    • R.O.A.D. Residency Anniversary
  • For Community
    • Artist Conversations
    • Ballet Workshops
    • Ballet Tours
    • R.O.A.D. Scholarship Program
  • Ways to Give
  • Sponsor
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Oct 13-22, 2023

Jekyll & Hyde

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Privacy Policy | Credits

2023-2024 Adaptive Dance Registration

Please complete this form to submit your registration for the 2023-2024 School Year. Submission of form is NOT confirmation of registration - an enrollment confirmation email will be sent once your spot is secured. Please allow ten (10) business days for our staff to process the registration.

Step 1 of 7

14%
  • STUDENT INFORMATION

  • If nothing is entered here, we will use the First Name listed above.
  • Please enter a number from 2 to 35.
  • PARENT/GUARDIAN 1 INFORMATION

    Parent/Guardian 1 will be used as the PRIMARY and first contact for the student(s).
  • This email will be used for all KCBS communication as the student's primary contact.
  • This phone number will be used as the primary contact for the student.
  • If entering an alternate phone, please select below the type of phone number.
  • PARENT/GUARDIAN 2 INFORMATION

    Parent/Guardian 2 will be used as the secondary point of contact for the enrolled student(s).
  • HEALTH INFORMATION

  • In the event of an emergency, we will first contact the parent/guardians. In the event that parent/guardians cannot be reached, please contact:
  • Please list and describe your child's diagnosis.
  • Please indicate any of the following conditions which have applied or currently apply to the student.
  • Please list all known allergies, including reaction and treatment. If allergy is severe, please provide KCBS with and emergency action plan.
  • Please upload a photo or scan of the front AND back of the student's medical insurance card.

    If you are unable to upload a photo of your student's medical insurance, please email a copy to nburkitt@kcballet.org
    Drop files here or
    Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 2.
    • Please upload a copy of your child's current IEP.

      If you are unable to upload your student's IEP, please email a copy to nburkitt@kcballet.org
      Drop files here or
      Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 2.
      • COMMUNICATION NEEDS

        How does your child communicate?
      • Please check all that apply.
      • Please check all that apply.
      • Please check box indicating Sign Language Style.
      • Your child can understand what others say:
      • Your child benefits when learning from:
      • What type of redirecting/behavior management techniques are currently being used at home? Provide phrases you use for different situations if applicable.
      • Does your child:
      • CLASS ENROLLMENT INFORMATION

        Enrollment is for the 2023-2024 school year running September 5, 2023 - May 10, 2024

        Classes are $160 a semester and have a one time $75 registration fee due at the time of enrollment. Our ages 14-18 class will be an 8 week session and will meet September 5, 12, 19 October 3, 10, 17, 24 and November 7.
      • Please select your students age. Your students age determines your class time.
      • Please select your students age. Your students age determines your class time.
      • Please select if you would like to sign up for one or both semesters. This option can be changed at the end of the Fall semester.
      • TUITION PAYMENT INFORMATION

        Online registration is only accepted with payment by credit card and autopay set-up. If paying by check, please submit registration paperwork by mail or in person.

        Registration fee of $75 and first payment are due at the time of registration. Autopay for the 2 semester plan will run on January 5, 2024.

        To read more on our financial policies or to apply for financial aid, please click here.

      • Please enter the phone number of the person responsible for payment
      • Please enter the email of the person responsible for payment
      • If using the card on file, you can login or create a Mindbody Account below to add or update your credit card information. Please login as the student, not the parent. You will be taken to the info tab, and if you scroll to the very bottom you can view, add or update the card on file. If you are registering multiple students, please enter credit card information for each student's account.
        href=https://clients.mindbodyonline.com/asp/SU1.aspstudioid=27092&tg=&vt=&lvl=&stype=-7&view=week&trn=0&page=&catid=&prodid=&date=10%2f3%2f2019&classid=0&prodGroupId=&sSU=true&optForwardingLink=&qParam=&justloggedin=&nLgIn=&pMode=0> Update card here.
        If you experience any trouble logging into Mindbody, please call the school at 816-931-2299 or email school@kcballet.org for assistance.
      • I understand that I am enrolling my student for a class that continues through May 2024 and am liable for the tuition for the level in which my student is enrolled.

        I understand that by submitting my registration online I am enrolling in autopay and authorize my credit card to be charged per the payment plan option I selected above. I will update KCBS of any changes to my card.

        I understand that if I wish to withdraw my student for any reason, I must email nburkitt@kcballet.org. I understand I am liable for all tuition accrued and that future payments will only be cancelled if the withdrawal notice is received by the 1st of the month.

        I understand that Kansas City Ballet School reserves the right to change the class schedule or faculty as necessary, including canceling any class that does not have a sufficient number of students enrolled.

        I understand the following KCBS financial policies:
        • Unsuccessful autopays will attempt to run the card on file once a day for five days. If still unsuccessful, a $15 decline fee will be charged.
        • A $20 late fee may be assessed to each individual student’s account if payments are not received within five days of the scheduled due date.
        • A $25 charge may be assessed for each returned check.
        • Students whose accounts are deficient by two months will not be admitted to class until their account balance is paid in full.
        • Tuition must be paid in full in order for students to participate in any performances.
        • There are no refunds after the student’s first day of class. Extenuating circumstances such as injury or relocation may be considered.
        • Transactions are non-refundable.
        • KCBS does not send invoices.
        • A 10% sibling discount may be applied to siblings.

        Sign below to acknowledge that you have read and agree to KCBS Financial Policies.
      • Kansas City Ballet strives to provide academy classes for all students, regardless of their financial means. Please consider making a donation today to help give all students the joy of dance through our need-based financial aid fund.
      • The amount below will be charged with your student's registration using the card on file. You will receive an email receipt once it has been processed.
      • WAIVER AND RELEASE

        Please read the waivers and health and safety protocols below carefully before signing.

        KCBS Health and Safety Protocols
      • Liability Release

        As the enrolled participant and/or the parent/guardian of the participant, I agree and understand that dance/fitness training is a potentially hazardous activity. I recognize that there are risks inherent in dance training including but not limited to serious physical injury. The participant hereby agrees to participate in activities of the Kansas City Ballet School (KCBS) and hereby agrees to indemnify and hold harmless KCBS, its instructors, officers, directors, agents and employees against any liability resulting from any injury that may occur to the participant while participating in activities of KCBS. The participant also agrees to indemnify KCBS for any damages incurred arising from any claims, demand, action or course of action by the participant. The participant authorizes any representative of KCBS to have the participant treated in any medical emergency during their participation in activities of KCBS. Further, the participant and/or parent/guardian agrees to pay all costs associated with medical care and transportation for the participant. Any medical/health issues of which the staff should be aware are disclosed on the Health History Form. The parent/guardian will keep KCBS informed of any changes in the participant’s health.

        Photography/Videography/Social Media Release

        As the enrolled participant and/or the parent/guardian of the enrolled participant, I authorize Kansas City Ballet and/or its representative, agent or employee to photograph and/or videotape and use any photograph/likeness of me or my minor child for any purpose, including publicity, choreographic archives, promotional materials, KCB social media, and/or any other reason deemed appropriate by the School Director.

      • Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

        The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

        The Kansas City Ballet School (KCBS) has created Safety Guidelines for the return to classes and workshops from July 2020 through the 2020-2021 Academic Year. The attached guidelines were prepared in consultation with medical experts, the Center for Disease Control and Prevention (CDC), and state and local officials on the opening of schools, as well as our own research in our particular field for operation, including in consultation with our colleagues from dance schools across the nation.

        Kansas City Ballet has put into place these preventive measures in an effort to reduce the likelihood of the spread of COVID-19; however, even if these procedures are strictly followed, KCBS cannot guarantee that you or your child (the “Student”) will not become infected by COVID-19.

        By signing this release, you acknowledge your child’s risk of being exposed to or infected by COVID-19 by attending any class held at the Bolender Center for Dance & Creativity or the Johnson County Campus of Kansas City Ballet School. This exposure may result from the actions, omissions, or negligence of Kansas City Ballet, Kansas City Ballet School, and others, including but not limited to, faculty, staff, and class participants and their families, or from circumstances which are unknown or beyond anyone’s control.

        READ CAREFULLY AS EXECUTION OF THIS FORM WILL WAIVE LEGAL RIGHTS:
        By signing below, you acknowledge that:
        I understand that KCBS will try to follow the Safety Guidelines referenced above, but I also understand that I cannot expect perfect compliance. I acknowledge and understand that, even if there is strict adherence to the procedures referenced above, there is still a risk that my child attending the Program can contract COVID-19 while on Kansas City Ballet School premises. I also acknowledge that due to their physical nature, dance programs may carry a greater risk than other activities of exposure to COVID-19. Even when all reasonable precautions are taken, there is an unavoidable risk of exposure to COVID-19.
        I knowingly and voluntarily agree to assume all the risks of COVID-19 and accept sole responsibility of any infection (including but not limited to personal injury, disability, and death) or expense of any kind, that I or my child may experience or incur arising from my child’s attendance at Kansas City Ballet School classes and workshops or use of Kansas City Ballet School facilities.
        In consideration of the acceptance of Student for participation in a KCBS program, Student and his/her assignees, heirs, parents, guardians, and legal representatives hereby voluntarily release, forever discharge, and hold harmless Kansas City Ballet, Kansas City Ballet School, and each of their officers, trustees, employees, faculty, staff, students, agents, representatives, or groups affiliated therewith (collectively “the Kansas City Ballet Releasees”) from any liability, claims, or causes of action of whatever nature, arising from or related to exposure to COVID-19 for any reason whatsoever to the fullest extent permitted by law, including without limitation claims based on the actions, omissions or negligence of any of the Kansas City Ballet Releases or claims arising out of Student’s attendance at Kansas City Ballet School classes and workshops or use of Kansas City Ballet School facilities.
        I acknowledge by signing this release that I have read and understand the KCBS Safety Guidelines and Protocols. I also understand that my assumption of risk and release of claims applies, without limitation, to any COVID-19 infection (whether it occurs before, during, or after participation in classes or workshops). By signing this document, Student and his/her assignees, heirs, parents, guardians, and legal representatives waive the right to bring any legal action now or at any time in the future to recover compensation or obtain any other remedy for any injury to Student or Student’s property—including his/her death—caused by COVID-19 or COVID-19-related procedures and arising out of his/her participation in classes or workshops or use of Kansas City Ballet School facilities. I also understand that the Student will not be accepted into the program unless this document is signed with acknowledgement of understanding of the risks involved.
        In addition, I understand that this release is intended to be as broad and inclusive as the State of Missouri will allow and that if any portion is held invalid, agrees that the balance shall, not withstanding, continue in full force and effect.
        By signing, I acknowledge and represent that I am authorized to execute the Assumption of Risk and Waiver of Liability with reference to the Students whose name(s) I have listed below. I understand and agree that this Assumption of Risk and Waiver of Liability is applicable to all Students listed, below, and to every Kansas City Ballet School class or workshop attended by any such Student after the date I sign this document.
      • By printing my name below, I acknowledge that I have read the above Liability Waivers, Photography/Videography/Social Media Release, and Health and Safety Protocols and sign with the full knowledge of their content and significance. Both parties agree that a printed name is the legal equivalent of a manual/handwritten signature on this form.
      • STUDENT HANDBOOK AND DRESS CODE

        The KCBS Student Policy Handbook and Dress Code is available on the KCBS Parent Page .
      • I have read the KCBS 2023-2024 Student Policy Handbook and Dress Code and have discussed all rules and policies with my student. We agree to abide by the policies and dress code.
      • ADDITIONAL INFORMATION

      • ENGAGE WITH KCBS!

      • As a reminder, submission of this form and payment information is NOT confirmation of registration - an enrollment confirmation email will be sent once your spot is secured.

        Please allow our staff 10 business days to process registration after you have submitted the form and payment. If you have not received the enrollment confirmation email by then, please contact our Adaptive Dance Coordinator at nburkitt@kcballet.org or 816-931-2299 x1302.

      Todd Bolender Center for Dance & Creativity

      500 W Pershing Rd Kansas City MO 64108
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