Our season is sponsored by Donna and Donald Baumgartner
01Performances
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02The Company
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03Baumgartner Center
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03Community Engagement
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04Support Us
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05School & Academy
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06Summer Intensive
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07The Latest
© 2020 Milwaukee Ballet Company | Directions Tickets: 414.902.2103 | General: 414.902.2100
MBSA Student Absentee Form
Parent Name
Parent Email
Student Name
Branch Location ---Baumgartner Center for Dance/Third WardRiverpoint Village/Fox PointTowne Centre/Brookfield
Class Level ---Above the CloudsCreative MovementPre-Ballet IPre-Ballet IIPre-Ballet IIIBallet IBallet IIBallet IIIBoys Class IBoys Class IIBallet IVBallet VBallet VIBallet VIIPre-AcademyAcademy IAcademy IIPre-Professional Program
Date Of Absence
If multiple days please list all
Reason for Absence ---schedule conflictillnessinjuryother
If you selected "Other" please specify
If you selected "Illness" please specify
Fever or Chills: YesNo
Cough: YesNo
Shortness of breath or difficulty breathing: YesNo
Fatigue: YesNo
Muscle or body aches: YesNo
Headache: YesNo
New loss of taste or smell: YesNo
Sore throat: YesNo
Congestion or runny nose: YesNo
Nausea or vomiting: YesNo
Diarrhea: YesNo
Student has sought medical care for COVID-19: YesNo
Student has tested positive for COVID-19: YesNo