______ I ALLOW The Dance Academy/U.P. Dance Academy, LLC to utilize my or my student(s)’s photographs or images to be
published for The Dance Academy/U.P. Dance Academy, LLC advertising, website, social media or any other advertising source.
Please initial above.
PARENT RELEASE FORM FOR MEDIA RECORDING
I, the undersigned, do hereby grant permission to The Dance Academy/U.P. Dance Academy, LLC to use the image of myself or
my student(s), _________________. Such use includes the display, distribution, publication, transmission, or otherwise use of
photographs, images, and/or video taken of myself or my student(s) for the use in materials that include, but are not limited to,
printed materials such as brochures and newsletters, advertising, videos, and digital images such as those on The Dance
Academy/U.P. Dance Academy, LLC’s website and social media accounts. I agree that all right, title and interest in and to all
such images and any reproductions or derivative works shall be the exclusive property of TDA. I agree that TDA does not owe
me any compensation for the acts that I have consented to in this Section.
TUITION AND HOLD HARMLESS AGREEMENT
By initialing here_______ and signing below, I hereby acknowledge that I am aware of The Dance Academy/U.P. Dance
Academy, LLC’s tuition guidelines and policies and understand when payment is due. I understand that it is my responsibility to
obtain the tuition amount due for myself or my student(s) class(es). I understand that if tuition owed is more than ONE (1)
month past due, my student will be asked to sit out during class and will not be able to participate in ANY The Dance
Academy/U.P. Dance Academy, LLC events, competitions or any other performances. If tuition owed is more than ONE (1)
month passed due, collection efforts will begin and I will be responsible for ALL amounts due and owing and The Dance
Academy/U.P. Dance Academy, LLC’s cost of collection and court fees. A $15 late fee will be added to my account for each
student and each month that I am passed due after the 6th of each month. Payments are due by the 5th of each month. I
understand that there is a drop fee (can be viewed in the Handbook). I understand that tuition is non-refundable within the
month. I understand that the Membership fee, costume fees and any other fees TDA pays out to vendors is non-refundable
unless otherwise refunded by the vendors (excluding Membership fees and other studio direct fees).
The Dance Academy/U.P. Dance Academy, LLC gymnastics punch card system. I acknowledge that cards expire the day of the
Spring Show recital or the last day of the season class. Punch cards cannot be used during the summer or the following season.
No refunds on punch cards are given. I understand that TDA reserves the right to refuse instruction to anyone not abiding by
TDA policies. I understand that TDA reserves the right to cancel a class or combine classes, if enrollment falls below a certain
number of students per class. I understand that TDA is not responsible for lost, stolen items, or unclaimed merchandise. I
understand that participating in a dance or gymnastics program involves risk and possibly injury. I understand that TDA and its
staff will not be held responsible for injuries or sickness sustained in class, while performing, traveling or other events TDA goes
to to perform or compete. I authorize TDA to secure any emergency medical treatment my child may need. I hereby release
TDA from all liability or legal responsibility that may arise from the acts that I have authorized or consented to herein. I have
carefully read and understand the terms and conditions of this form and the Handbook. I know where to find the handbook
including on the parent portal, incase I need to refer back to any important information. I have read and agree to abide by TDA's policies. I
understand and agree that if TDA has to close for reasons including but not limited to weather, pandemic, major sickness, etc that classes will be
held and taken virtually for time being.
By signing below, I acknowledge that the information on the form above is accurate, that it may be needed in case of an
emergency, and that The Dance Academy/U.P. Dance Academy, LLC may rely on the information provided. I further
acknowledge that I have read, fully understand and agree with the terms and conditions of the Tuition Agreement above.
I have read and fully understand the content of the Student Handbook that I received either via e-mail, on paper, or can be
viewed at any time on The Dance Academy/U.P. Dance Academy, LLC Parent Portal under class files. I further understand that I
give up substantial rights by signing this document, as listed in the handbook. I agree to abide by all dates, tuition, rights, rules
and legalities within the handbook. I voluntarily sign and agree to the terms if the agreements listed in the Student Handbook,
on behalf the minor student(s) and myself, my spouse, heirs, assigns, and related individuals. I also agree to pay the drop fee
based on if I or my student(s) is a recreational or competitive student. The full information can be found in our Student
Handbook which has been e-mailed to the e-mail listed at the time of registration along with being available on one of the
studio TV’s, in The Dance Academy/U.P. Dance Academy, LLC Parent Portal under class files and available at all the front desks. I
am also signing that I have read the handbook and all its contents within. Additional fees are within the Student Handbook. I
acknowledge that I have received and read through all additional possible fees that can be accrued when late for costume
orders, competition fees, withdrawal fees and costume size exchange fees. I do not hold The Dance Academy/U.P. Dance
Academy, LLC liable for any injury or sickness sustained prior, during or after class(es). If an injury or sickness occurs before,
during or after class(es) or you have a prior history of injury or sickness, The Dance Academy/U.P. Dance Academy, LLC highly
recommends seeing a medical professional regarding all health-related questions.
As stated in the Student Handbook, to discontinue any lesson(s), at least a TWO (2) week notice must be given. All auto-debit or
automatic credit card charges will be stopped as of the first of the following month. Tuition, Membership Fee, and costumes
are non-refundable unless you have prepaid for upcoming months. If I or my student(s) drop out from a performing
recreational class prior to Winter or Spring Show and choreography must be re-done there will be a $50 drop fee added to my
account. If I or my student(s) drop out of a competition class after October 1st there will be a $250 drop fee added to my
account. There is a $150 drop fee for Production Students added to their account.
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