I agree that The PACT may process my credit/debit card after payment is posted and I submit payment or The PACT may run my credit/debit card if I do not make payment by the scheduled due date.
I/We, the undersigned, are the parents/guardians, the parents having legal custody, or the legal guardians and have given consent for him/her to participate in The PACT classes & rehearsals and/or events at any and all locations both predetermined and to be determined at a later date. In the event that he/she is injured attending any of The PACT's classes or rehearsals and/or event and requires the attention of a doctor, I/we consent for such medical treatment and/or surgery to be given and performed to and upon my child as appears to be reasonably necessary in the exercise of prudent medical judgment of a licensed doctor of medicine (i.e. M.D.). In the event treatment is called for, which a physician and/or hospital personnel refuses to administer without my/our consent I/we here by authorize Jacob Rowe, Erin Walker, Kendall Lee and/or other representative of The PACT to give such consent for us if I/we cannot be reached by telephone at one of the numbers above, or, because of emergency, there it not time or opportunity to make a telephone call and understand that I will be contacted as soon as possible. In the event it becomes necessary for that person to give consent for us, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from giving such consent so as the treatment is administered by or under the supervision of a licensed physician. In this regard, it is understood that any medical, hospital and/or surgical expenses which may be incurred as a result or treatment recommended by any such doctor will be borne by me/us. Further, I/we affirm that the health insurance information provided on this form is current and accurate.
I hereby consent to the video and photographing of my minor child, and the recording of his/her voice and the use of these photographs, videos and/or recordings singularly or in conjunction with other photographs, videos and/or recordings for advertising, publicity, commercial or other business purposes. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage. I further consent to the reproduction and/or authorization by The PACT to produce and use said photographs and recordings of my minor child for use in all domestic and foreign markets. Further, I understand that others, with or without the consent of The PACT could use and/or reproduce such photographs and recordings.
1. The Parent/Legal Guardian Undersigned hereto will RELEASE INDEMNIFY DEFEND AND HOLD HARMLESS The PACT from and against any and all claims, losses, expenses, costs, judgments, and/or demands arising from the conduct of the other party with regard to the services provided by The PACT and/or on account of any operation or action by The PACT and/or from and against all claims arising from any act of negligence on the part of The PACT, or any act of negligence on behalf of the The PACT's directors, teachers, instructors, agents, contractors, servants, employees, licensees, volunteers, performers, students, or invitees, or any accident, injury, or death of any person or damage to any property in or about any of the The PACT practice and/or performance locations. Further, the undersigned will RELEASE, INDEMNIFY, AND HOLD HARMLESS The PACT, its corporate officers, and agents from and against any claims, demands, actions, liens, rights, subrogated or contribution interests, debts, liabilities, judgments, costs, and attorney's fees, arising out of, claimed on account of, or in any manner predicated upon the participation of minor children in the activities, services and performances provided by The PACT including any loss or damage to property or the personal injury or loss of any person which may occur as a result of the participation of Minor Child/Student Performer in the activities, services and performances provided by The PACT even where that loss, damage, personal injury, or death is caused or contributed to, in any manner, by The PACT
I agree that tuition will be paid by the 5th of every month and that there will be a $15 late fee for any payment received after the 5th.
I agree to pay a registration fee of $25 at the completion of this registration agreement. That payment will hold your students place in the classes selected above.
I agree that there will be a 3% fee to all credit card transactions. There will be no fee if paid in cash or check.
There will be no refunds for any fees paid to The PACT.
Returned check fee: $25
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