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ABT RISE Boys Weekend Workshops

Diversity & Inclusion
Education Programs
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ABT RISE Camp

August 7-11 from 12:45-3:45pm

American Ballet Theatre

890 Broadway

New York, NY 10003

Please complete the following:

TO REGISTER YOUR CHILD, PLEASE CLICK THE FOLLOWING LINK: https://forms.gle/VzPfsVeRvm8ooph57

TO UPLOAD YOU CHILD'S PROOF OF VACCINATION, PLEASE CLICK THE FOLLOWING LINK: https://www.cognitoforms.com/AmericanBalletTheatre1/StudentProofOfVaccinationABTRISECampPS19Q

For questions, please email schoolprograms@abt.org.

Below is the application to attend the ABT RISE Boys Weekend Workshops.

****To be eligible, applicant must be a 2nd or 3rd grade student****

Questions? Please email: schoolprograms@abt.org.

ABT RISE Boys Weekend Workshops

About Me

RequiredStudent First Name:*

RequiredStudent Last Name:*

RequiredPlease enter a date with the format M/D/YYYY.Date of Birth:*

RequiredPlease enter numbers only.Age on 3/25/23*

RequiredGender:

Female

Male

Non-Binary

Enter your own value

*

This field is required.This value is not unique.*

RequiredPronoun:*

RequiredStudent School:*

RequiredCurrent Grade:

2nd Grade

3rd Grade

*

RequiredCurrent Academic School:*

RequiredCurrent Academic School CITY:*

RequiredCurrent Academic School STATE:*

RequiredPlease enter a 5-digit ZIP code or a 9-digit ZIP code with a hyphen after the first 5 digits.Current Academic School ZIP CODE:*

RequiredDoes student require any special accommodations? (ie. hearing or visual impairments, etc.)*

RequiredEthnicity: (Please select all that apply)

American Indian or Alaska Native

Asian or Southeast Asian

Black or African-American

Black or African-American (Non-Hispanic Origin)

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

White (Non-Hispanic Origin)

Two or More Races

Prefer not to reply

*

RequiredLanguages Spoken at Home: (Please select all that apply)

Arabic

Bengali

Chinese

English

French

Haitian Creole

Korean

Russian

Spanish

Urdu

Other

*

RequiredIf Other, please indicate:*

RequiredCovid-19 vaccinations are required by ABT. Is your child fully vaccinated (two shots and one booster)?

Yes

No

*

RequiredI understand I will need to submit proof of vaccination for my child upon acceptance.

Yes

No

*

Contact Information

RequiredPlease enter a valid email address with the format youraddress@yourdomain.Primary Email Address:*

This email address will be used for program correspondence. *

RequiredAddress:*

RequiredCity:*

RequiredState:*

RequiredPlease enter a 5-digit ZIP code or a 9-digit ZIP code with a hyphen after the first 5 digits.Zip Code:*

Parent/Guardian and Emergency Contact Information

Parent/Guardian #1 *

RequiredParent Guardian Name:*

RequiredPlease enter a valid email address with the format youraddress@yourdomain.Primary Email:*

RequiredPlease enter a 10-digit phone number. You can use hyphens or periods to separate numerals, and you can put the area code in parenthesis.Primary Phone Number:*

RequiredRelationship to Student:*

RequiredEmergency Contact:

Yes

No

*

Parent/Guardian #2 or Alternate Emergency Contact *

RequiredParent/Guardian Name:*

RequiredPlease enter a valid email address with the format youraddress@yourdomain.Primary Email:*

RequiredPlease enter a 10-digit phone number. You can use hyphens or periods to separate numerals, and you can put the area code in parenthesis.Primary Phone:*

RequiredRelationship to Student:*

RequiredEmergency Contact:

Yes

No

*

Dance Experience:

RequiredHow did you learn about our programs?

Dance Teacher/School

Community Organization

Social Media

ABT Website

ABT Certified Teacher

Word of Mouth

Flyer

Other

*

RequiredHave you participated in any of the following ABT Programs:

Summer Program

ABT Pre-Performance Workshop

Online Classes of ABTKids Daily

No, I have not participated in any of these programs.

*

RequiredDo you take dance classes at school?

Yes

No

*

RequiredDo you take dance classes at a private studio?

Yes

No

*

Please provide an answer to the following questions:*

RequiredAlthough no experience with ballet is required to participate, does the student know the structure of a ballet class?

Yes

No

*

RequiredIf the student attends ballet class, do they feel comfortable working at a ballet barre?

Yes

No

*

RequiredPlease select the date(s) your child plans on attending.

Saturday, March 25 1:00-3:00 PM

Saturday, April 22 1:00-3:00 PM

Saturday, May 13 1:30-3:30 PM

*

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Casting and programming subject to change. Copyright 2021 Ballet Theatre Foundation, Inc.
American Ballet Theatre and ABT are registered trademarks of Ballet Theatre Foundation, Inc.

Ballet Theatre Foundation, Inc. is a registered 501(c)(3) organization. Tax-Exempt ID #13-1882106.

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