2023 Progressions Entry Form

2024 PROGRESSIONS REGISTRATION FORM

REGISTRATION REMAINS OPEN UNTIL PROGRAM SELLS OUT!

Program has filled to capacity each and every year since it’s inception. Early registration is strongly recommended.

Dancer Status *

Use drop-down arrow at right to indicate Progressions Alumni or First Time Participant

Dancer FIRST Name *

Dancer LAST Name *

Dancer Age (as of event) *

Dancer Birthdate *

Parent/Guardian Name (first and last) *

Parent/Guardian Cell Phone Number (with area code) *

Parent/Guardian Email Address *

Dancer T-Shirt Size (female sizing runs slightly small) *

This is for the PROgressions shirt that is included in the price of the workshop. Use drop-down arrow at right to choose

OPTIONAL Kidz Roc T-Shirt(s) Pre-Order

Indicate below if you would like to receive one or more of the 2024 Kidz Roc T-Shirts. If Yes, indicate sizes and quantities in the field below this one. An additional $28 will be added to your invoice for each Kidz Roc shirt you order. Kidz Roc shirts are Pre-Order only and will NOT be for sale at the show. Order deadline is May 31, 2024. Pre-ordered shirt(s) will be included with materials the dancer will receive at check-in.

OPTIONAL Kidz Roc T-Shirt Sizes and Quantities

Complete only if "Yes" is checked in prior field.

Hotel Room Preference *

Use drop-down arrow at right to choose "Shared Room" or "Private Room Upgrade"

IF sharing hotel room, dancer name to share with:

IF your hotel preference is for a shared room AND you would like to request a specific roommate, input requested roommate's name below. We will make every attempt to match up requested roommates, but no guarantees are offered. Leave this field blank if you prefer a random roommate, or if you indicated the desire for a private room in the prior field.

Dancer Gender *

Use drop-down arrow at right to indicate Female or Male.

Dancer Primary Residence Is Located In Which State? *

Studio Dancer Attends *

Competition Level *

Use drop down arrow to select which level dancer competes at during a competition event.

Studio Director\'s Name *

Will Dancer Be part of a TOP-Invited Kidz Roc act? *

Use the drop-down arrow at right to choose "No", "Yes", or "Not Sure Yet"

Emergency Contact Name (other than parent/guardian listed above) *

Include both first and last name

Emergency Contact Phone Number (with area code) *

Emergency Contact Email Address *

List Any Dancer Allergies *

If no allergies, enter NONE

List All Dancer Medications *

Include both prescribed and OTC (over-the-counter) medications that may be in the Dancer's possession during camp. If no medications, enter NONE.

ALL DANCERS MUST HAVE AN ACTIVE HEALTH INSURANCE POLICY IN EFFECT DURING THE DURATION OF THE CAMP -- NO EXCEPTIONS

Policy Holder's Name (first and last) *

Policy Issuer (name of insurance company) *

Policy Number *

Upload Picture of Insurance Card FRONT *

Upload Picture of Insurance Card BACK *

SUBMISSION OF THIS FORM CONSTITUTES APPROVAL OF THE FOLLOWING:

I understand that individual health insurance covering the dancer named above is a requirement to attend the program. I grant Talent On Parade, LLC and camp staff the right and authority to make emergency medical decisions in good faith, and in the best interest of my dancer for the program dates of July 28-31. I also agree to release and hereby indemnify Talent On Parade, LLC and their agents from any and all contracts, claims, suits, actions, liabilities and or injuries arising as a result of participation in this workshop, and/or as a result of medical/safety decisions made in the case of an emergency. I further release Talent On Parade, LLC and their agents from responsibility for any and all loss or damage, court costs and/or legal fees. By my electronic signature below I also affirm that I have read and understood all appropriate documents, rules and regulations as regards to this workshop. I also understand that payments for the program are expected as follows: 1) A $250 non-refundable deposit is due immediately following receipt of the PAYPAL invoice generated by this application; 2) Payments must be made so that invoice balance is $460 or less as of May 12, 2024; 3) Additional payments must then be made so that invoice balance is $300 or less as of June 2, 2024, and all payments (not just deposit) become non-refundable as of that date; 4) Additional payments must then be made so that invoice balance is $150 or less as of June 16, 2024; 5) Final payment deadline is on or before June 30, 2024; 6) All payments must be made via the PAYPAL invoices emailed from TOP. At any time you may share a PAYPAL email invoice link with others who wish to “donate” towards your dancer’s tuition. Failure to meet any payment deadline indicates express wish not to participate, and forfeiture of any and all payments made up to that point. I also understand that refunds will not be provided due to program cancellation/postponement as a result of any national emergency, acts of God, war, acts of terrorism, medical emergency, weather-related issues, force majeure, or other circumstance(s) in which TOP has no control. In lieu of refunds, credit in the amount of payments received will be held on a studio account instead. Finally, I understand my dancer’s participation can be terminated immediately at the sole discretion of any member of the TOP Go Pro Staff for violations related to, but not limited to, the following: consumption of alcohol, illicit drugs, smoking, vaping, or promiscuous activities. Upon such termination I agree to retrieve my dancer immediately, at my own expense, and without refund.

Electronic Signature *

Typing your name into this form, and then submitting this form to Talent on Parade, LLC. electronically is, for all intents and purposes, to be considered a valid and legally binding signature.

Date of Signature *

NEED HELP?

Please allow up to 3 minutes for submission process to complete after clicking the “submit” button below. Following successful submission you will automatically be forwarded to a confirmation screen. A confirmation email will also be sent as well. Contact the TOP office at (316) 522-4836 during normal business hours with any questions or for assistance in completing/submitting this form, or email office@talentonparade.com.