Register for Our Dance Heritage Classes Dance Heritage Registration Originally created to support the 2019 Dance Heritage Program for registration. Step 1 of 2 50% Is the person registering 18 years of age or older?*YesNoAdditional Registration Information for MinorsGuardian Name* First Last I am the parent or Legal Guardian of the child registering for this program and named below. I understand that dance and creative movement involve physical contact between dancers and participants, that serious accidents occasionally occur during such activities, and that participants in such activities occasionally sustain serious personal injuries (including death) and/or property damage as a consequence thereof. Knowing the risks of participation, I hereby agree that my minor child and I assume those risks and release and hold harmless Indiana Black Expo, Inc. and its agents, sponsors, and employees who might otherwise be liable to me, my minor child (or our heirs or assigns) for damages. In the event of an accident or illness involving my minor child or myself, I hereby authorize Indiana Black Expo, Inc. to arrange for transportation of my minor child or myself, whether by ambulance or otherwise, to a proper facility where emergency medical treatment would normally be administered, including but not limited to, an emergency room of a hospital, a doctor’s office, or medical clinic: and sign releases as may be required in order to obtain any medical or surgical treatment as is immediately required in the judgment of medical authorities at the facility. I agree neither my minor child nor I will make a claim against, sue, attach the property of or prosecute Indiana Black Expo, Inc., their agents, sponsors or employees for damages, death, personal injury or property damages which my minor child may sustain as a result of my child’s participation in these activities. I attest that I am eighteen years old or older and that my child is physically fit and has no known medical conditions which prohibit participation in these activities. My child and I agree to follow all laws, rules, and guidelines regulating the conduct of Indiana Black Expo, Inc. dancers and participants. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability from myself and my child and a contract between myself, my child, and Ballet Spartanburg and its agents, sponsors, and employees, and I have signed it of my own free will.Certification of Guardianship* I certify the above is true and correct Event RegistrationParticipant Name* First Last Phone*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Select the classes you wish to attendThere is a registration fee of $10.00 per class.Wednesday, July 17thClasses will be held at IBE's Performing Arts Academy, 601 Shortridge Road, Indianapolis10:00 AM – 11:15 AM Dancehall – Kara Jenelle Price: $10.00 Quantity: 11:30 AM – 12:45 PM Hip Hop – Chonique Price: $10.00 Quantity: 2:00 PM – 3:15 PM Heels – Tasha B Price: $10.00 Quantity: 3:30 PM – 4:45 PM Jazz – Tamara Price: $10.00 Quantity: Thursday, July 18thClasses will be held at IBE's Performing Arts Academy, 601 Shortridge Road, Indianapolis10:00 AM – 11:15 AM Performance Workshop – Chonique Price: $10.00 Quantity: 11:30 AM – 12:45 PM Afrobeat – Kara Jenelle Price: $10.00 Quantity: 2:00 PM – 3:15 PM Dancehall – Jarrett Price: $10.00 Quantity: 3:30 PM – 4:45 PM Hip Hop – Tasha B Price: $10.00 Quantity: Friday, July 19thClasses will be held at IBE's Performing Arts Academy, 601 Shortridge Road, Indianapolis10:00 AM – 11:15 AM Jazz/Funk – J.R. Price: $10.00 Quantity: 11:30 AM – 12:45 PM Heels – Ashley Everett Price: $10.00 Quantity: 2:00 PM – 3:15 PM Hip Hop – TJ Monroe Price: $10.00 Quantity: 3:30 PM – 4:45 PM Street Jazz – Jonte' Price: $10.00 Quantity: Saturday, July 20thClasses will be held at IBE's Performing Arts Academy, 601 Shortridge Road, Indianapolis. Jeffrey Page's 3:30 pm Free Line Dance Class and Dance Battle will be held at Indiana Convention Center 100 S Capitol Ave, Indianapolis, IN10:00 AM – 11:15 AM Street Jazz – Ashley Everett' Price: $10.00 Quantity: 11:30 AM – 12:45 PM Performance Hip Hop – J.R. Price: $10.00 Quantity: 2:00 PM – 3:15 PM Heels – Jonté Price: $10.00 Quantity: 3:30 PM – 4:45 PM Line Dance – Jeffrey Page' Price: $0.00 Quantity: Total and PaymentTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.