High School Intensive
Date of Birth
Apt, Suite, Bldg. (optional)
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
East Timor (Timor Timur)
Papua New Guinea
Saint Kitts and Nevis
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States of America
*Note: T-shirts are optional and an additional cost of $15.
The following guidelines are to assist you in choosing a skill level. STARTER is for the beginner looking to build solid fundamentals. The starter is an individual who has never had a class, only had experience in a show, only trained at a workshop, or wants a review and training in basic work. BASIC is for individuals who have achieved a fundamental physical vocabulary of demonstrable skills such as: lines of attack, lines of defense, footwork, and partnering skills. INTERMEDIATE is an individual with a command of fundamental techniques. Intermediate students will be expected to easily accomplish basic to complex choreographic phrases. ADVANCED is an individual with significant command of their corporeal being, a complete physical vocabulary of weapons' techniques, strong acting skills, and a bold and saucy attitude.
Parent/Emergency Contact Name
Relationship to Emergency Contact
Emergency Contact Phone
Release of Liability
Release for Stage Combat Dallas Sponsored Event Lone Star Smash
I have asked you to instruct me in the art of sword play and in combat and cirque disciplines for theatrical purposes (the "Activities"). I recognize that the "Activities" are inherently dangerous and that I can sustain serious injury in learning and performing any of them. To induce you to provide me with this instruction and in consideration thereof (which consideration is in addition to any fee that I pay you), I agree that you will incur no liability to me and that I will have no claim against you arising out of or in connection with any act, omission, circumstance, or other occurrence constitutes willful misconduct or gross negligence on your part. If I assert a claim against you and you prevail, I will pay your expenses in defending that claim, including reasonable attorney's fees. This agreement will be binding upon my heirs, administrators, executors, successors, and assigns. By adding my initials below, I assert that I have read and understood this document. This will serve as a legal binding document and will be viewed with the same weight as a hard copy signature.
Photos and video will be taken of the classes during the workshop for use on our website and facebook page as well as to share with the attendees following the workshop. Please authorize use of your photo below: I grant to SCDallas, its representatives and employees the right to take photographs of me in connection with the 2016 LONESTAR SMASH. I authorize SCDallas, its assigns and transferees to copyright, use and publish the same in print and/or electronically and may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I authorize SCDallas to take and use photos with me in them during The Lonestar Smash
I do not authorize SCDallas to take and use photos with me in them during The Lonestar Smas
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