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Home
About Us
Mission, Values and Ideas
Who We Are
Annual Report 2022
Job Listings
Contact Us
Testimonials
Programs
Summer Programs
BBK Rocks Free Program
Free Community Ensembles
High School Conservatory
Financial Aid
Partnerships
PS 527
PS 6
Support BBK
No One Is Alone Fundraiser
Donate
Broadway Bound Kids
In-Person Programs Release Form
Thank you for registering for our In-Person Summer Programs! Please fill in the information below, and feel free to
contact us
with any questions.
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Indicates required field
Student 1 First Name
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Student 2 Last Name
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Student 1 Date of Birth
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Student 2 First Name
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Student 2 Last Name
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Student 2 Date of Birth
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Please check all weeks your student will be participating in:
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Week 1: Musical Magic Kingdom (June 28th-July 2nd)
Week 2: One Shot! Act 1 (July 5th-July 9th)
Week 3: Movie Musicals: School Spirit (July 12th-16th)
Week 4: Epic Broadway: The Icons (July 19th-July 23rd)
Week 5: Musical Magic Kingdom: Villains Week (July 26th-July 30th)
Week 6: One Shot! Act II (Aug 2nd-Aug 6th)
Week 7: Movie Musicals: Magic Week (Aug 9th-13th)
Week 8: Epic Broadway: Tony Season (Aug 16th-20th)
Parent / Guardian 1: First Name
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Parent / Guardian 1: Last Name
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Phone Number: Parent/Guardian 1
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Email: Parent / Guardian 1
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Parent / Guardian 2: FIRST NAME
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Name: Parent / Guardian 2: LAST NAME
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Phone Number: Parent Guardian 2
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Email: Parent/Guardian 2
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I hereby certify that I am the legal guardian of the child listed above. Furthermore, I have read this release of liability and assumption of risk and fully understand its terms. (Please note that you must agree to these terms in order for your child to participate in Broadway Bound Kids programs.)
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AGREE
Assumption of Risk and Waiver of Liability Related 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 may spread from person-to-person contact. Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death. As a result, various federal, state, and local governments and government health agencies recommend social distancing, frequent handwashing, and the use of face masks, and have, in many locations, limited the congregation of groups of people. Further, attending in-person classes, programs, or activities conducted by or in association with Broadway Bound Kids Inc, could increase your risk and your child(ren)’s risk of contracting COVID-19. Broadway Bound Kids has put in place preventative measures to reduce the spread of COVID-19 and seeks to follow the guidance and recommendations of government health agencies such as the Centers for Disease Control and Prevention and New York state and local government authorities. However, Broadway Bound Kids cannot guarantee that you or your child(ren) will not be exposed to or become infected with COVID-19 as a result of participating in our activities. Please read this agreement carefully as your electronic signature indicates that you have agreed to assume certain risks and to give up certain rights. ASSUMPTION OF RISK By signing this agreement, I acknowledge that: I have read the warning above concerning COVID-19 and understand there is a risk that I or my child(ren) may be exposed to or become infected with COVID-19 as a result of participating in Broadway Bound Kids’ classes and activities. I understand such exposure or infection may result in personal injury, illness, permanent disability, or even death. I understand that such exposure or infection could occur as a result of the actions, omissions, or negligence of myself, my children, or Broadway Bound Kids, its owners, directors, employees, agents, representatives, and volunteers. I am voluntarily assuming this risk for myself and my child(ren) as part of participating in Broadway Bound Kids’ classes and activities. I value my child(ren) being able to participate in Broadway Bound Kids’ classes and activities and am signing this agreement in exchange for such participation. AGREEMENT NOT TO SUE AND WAIVER OF LIABILITY By signing this agreement, I also promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with myself or my child(ren) being exposed to or infected with COVID-19 as a result of participating. I understand that by signing this agreement I am waiving, releasing and giving up any and all claims against, and agree to hold harmless, Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with myself or my child(ren) being exposed to or infected with COVID-19 as a result of participating in any of Broadway Bound Kids’ classes or activities.
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AGREE
ASSUMPTION OF RISK & WAIVER OF LIABILITY I understand that the classes and programs provided by Broadway Bound Kids (also known as EMG Artistic Inc.) may involve activities of a physical or athletic nature. I acknowledge that despite precautions taken by Broadway Bound Kids, such activities may result in accidents which could involve personal injury to my child(ren). I acknowledge that I believe my child to be qualified, in good health and in proper physical condition to participate in such activities. In consideration of Broadway Bound Kids providing such classes and activities and my child(ren)’s registration and participation therein, I am voluntarily assuming for myself and my child(ren) all risks, whether foreseen or unforeseen, in connection with my child(ren)’s participation in such classes or activities. I give my full consent for my child(ren)’s participation, and I promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any of Broadway Bound Kids’ classes or activities. I understand that by signing this agreement I am waiving, releasing and giving up any and all claims against, and agree to hold harmless, Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any and all personal or property injury suffered by myself or my child(ren) in connection with any of Broadway Bound Kids’ classes or activities (whether in person or conducted remotely online) or at any premises or facilities associated with Broadway Bound Kids. I hereby give my permission to Broadway Bound Kids to summon trained medical professionals to care for my child(ren) in the event that an injury should occur in my absence with the understanding that I or another family member will be notified as soon as possible. I also certify that I have insurance to cover medical and dental expenses incurred in the treatment of my child, and Broadway Bound Kids shall in no event be responsible for such expenses.
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AGREE
ONLINE & VIRTUAL ACTIVITIES I understand that certain of Broadway Bound Kids’ classes and activities may be delivered remotely through online or virtual platforms. I recognize that elements of my child(ren)’s participation in classes or activities conducted through such platforms is outside of Broadway Bound Kids’ physical control or supervision, including but not limited to the safety of the area in which my child(ren) participates in such classes or activities. I agree that I will provide a safe area for my child(ren) to participate in any such classes or activities that is clear of all obstacles and potential obstacles, such as furniture, sharp objects, and stairs. I further agree that I will ensure adequate supervision during participation by my child(ren) in any of Broadway Bound Kids’ classes or activities that are conducted remotely through online or virtual platforms. In consideration of Broadway Bound Kids providing such classes and activities remotely through online or virtual platforms and my child(ren)’s registration and participation, I am voluntarily assuming for myself and my child(ren) all risks, whether foreseen or unforeseen, in connection with my child’s participation including, but not limited to, any and all increased risk of injury due to the activities being conducted online. I promise and agree not to sue or bring a lawsuit against Broadway Bound Kids, its owners, directors, employees, agents, representatives, or volunteers in connection with any of Broadway Bound Kids’ remote, online or virtual classes or activities.
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AGREE
PHOTOGRAPH & VIDEO RELEASE I give permission for any photographs, videos, or sound recordings taken of my child(ren) during participation in any of Broadway Bound Kids’ classes or activities to be used by Broadway Bound Kids for marketing purposes. I consent to the use of any such photographs, videos, or sound recordings for marketing purposes on Broadway Bound Kids’ website and marketing materials including any promotional posters, flyers, brochures, printed and electronic ads, electronic media, etc. I understand that I will not receive compensation in any form for the use of my child(ren)’s likeness in photograph or video, and/or recorded voice. I understand that in no circumstance will Broadway Kids use my child(ren)’s name in any marketing materials.
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AGREE
OTHER MATTERS I agree that this Agreement will be governed by the laws of the State of New York. I understand and agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of New York and that the invalidity of any clause or provision will not otherwise affect the remaining clauses or provisions of this Agreement. I understand and agree that my electronic signature on this Agreement shall have the same binding legal effect as a handwritten signature to the fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act and the New York State Electronic Signatures and Records Act, and I hereby waive any objection to the contrary.
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AGREE
I acknowledge and agree that I have carefully read this Agreement and understand its terms and conditions. I understand that by typing my name in the box below I am signing this Agreement and consenting to its terms and conditions.
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Please click the "submit" button below and your release form will be sent.
We are so excited to have your child in our program and we look forward to seeing you soon.
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