DANCE & TUMBLING RELEASE FORM: The Dance Realm Studios will not be held liable
for any personal injury that may be encountered during dance or tumbling programs or events.
The Dance Realm has my permission to use my email for voting for Hulafrog's Most Loved Studio. By letting us enter your email, you will be entered into our drawing to win four free tickets to our recital.
LATE TUITION PAYMENTS
Tuition payments received past the 15th day of the tuition months will result in a $10.00 late fee accruable per week past due. (For example: 5 weeks late = $50.00 late fee.) The system will automatically bill the late fee each week.
I hereby give Sue Beiting and/or The Dance Realm permission to publish photographs and/or videos of my child(ren) listed below on the The Dance Realm website, Facebook, Instagram, and/or any other social media or print media.
I represent and warrant that I am the parent or legal guardian of the listed minor child(ren) and I have the full legal capacity to execute this release.
I hereby release The Dance Realm of any and all liability and responsibility for injuries, sickness,
pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or
instruction of classes, camps, private instruction, choreography or any activity my child participates in.
I certify that I and my children have read and will comply with The Dance Realm’s new procedures and
fully understand its content. I am aware that this is a release of liability and a contract and I am signing it
of my own free will.
The following procedures offer a healthy dance environment for your child while at The Dance Realm:
1. Students must have a completed, signed Release of Liability Waiver submitted on the first day of class.
2. Please encourage your student to use bathroom facilities before class. If necessary, a teacher will assist your student in the restroom wearing gloves and a mask while doing so.
ALL RETURNED CHECKS WILL RESULT IN A $35.00 RETURN CHECK FEE.
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