Photo/Video Release
The undersigned gives permission to the American BellyDance Studio, its owners, instructors and operators to video and/or photograph any participants in ABS activities and use these media to promote the studio and or BellyDance without monetary reimbursement of any kind.

Release of Liability
As the registrar (or legal parent or guardian if registrar under 18), I release and hold harmless the American BellyDance Studio, its owners and instructors from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of the American BellyDance Studio, its owners and operators or in route to or from any of said premises.

Signature Text
As the registrar (or legal parent or guardian if registrar under 18), I release and hold harmless the American BellyDance Studio, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of the American BellyDance Studio, its owners and instructors or in route to or from any of said premises.

Medical Emergency
The undersigned gives permission to the American BellyDance Studio, its owners and instructors to seek medical treatment for the participant in the event they are not able to reach an emergency contact or parent or guardian (if user 18). I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.
Payment Information
Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $10.00 late fee applied to the account balance. There is a $25.00 returned check charge for any checks returned by the bank.

Photo/Video Release
The undersigned gives permission to the American BellyDance Studio, its owners, instructors and operators to video and/or photograph any participants in ABS activities and use these media to promote the studio and or BellyDance without monetary reimbursement of any kind.
I've read the above and agree.

Release of Liability
As the registrar (or legal parent or guardian if registrar under 18), I release and hold harmless the American BellyDance Studio, its owners and instructors from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of the American BellyDance Studio, its owners and operators or in route to or from any of said premises.

Signature Text
As the registrar (or legal parent or guardian if registrar under 18), I release and hold harmless the American BellyDance Studio, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of the American BellyDance Studio, its owners and instructors or in route to or from any of said premises.

Medical Emergency
The undersigned gives permission to the American BellyDance Studio, its owners and instructors to seek medical treatment for the participant in the event they are not able to reach an emergency contact or parent or guardian (if user 18). I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.

Payment Information
Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $10.00 late fee applied to the account balance. There is a $25.00 returned check charge for any checks returned by the bank.
I've read the above and agree.