Parent Release Form for Media Recording
I, the undersigned, do hereby grant permission to Prodigy Dance Studio to use the image of my child, _________________________________. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, advertising, videos, and digital images such as those on Prodigy Dance Studio’s website and social media pages (Facebook, Instagram, YouTube, etc).
By signing this form, I understand that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by Prodigy Dance Studio for a variety of purposes and that these images may be used without further notifying me. I do understand that the child’s last name will not be used in conjunction with any video or digital images.
Parent/Guardian signature Date
Please Note: A media release form must be filled out for each individual student who enrolls in Prodigy Dance Studio.
Health Information and Medical Release/Waiver Form
I, _________________, the parent/guardian of _________________________,
am aware that participation in dancing is potentially dangerous and involves risk
of injury. I understand that these risks include, but are not limited to injury to ligaments,
muscles, tendons, bones, and other aspects of the body that may include head, neck, or
spine. Due to the dangers of this activity, I understand the importance of my child’s following the teacher’s instructions regarding techniques, training, and other rules and agree that my child will obey these instructions. In consideration for allowing my child to participate Prodigy Dance Studio’s activities, I hereby assume all the risks associated with the sport of dance, and I agree to release Prodigy Dance Studio and its employees or agents from any and all liability/responsibility which may arise in connection with my child’s participation in activities at Prodigy Dance Studio.
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.
STUDIO INFORMATION AND POLICIES
Please Read and Initial each policy:
____Registration Fee - The first month's tuition is required with the registration form to reserve class space. Registration will not be considered complete and class space is not reserved until this fee has been paid. Registration fee is $45 per dancer, per season. 10% discount available for siblings. Completed registration form and signed Studio Policies will carry over from season to season until dancer has withdrawn.
____Class Fees -Class fees are due the first of each month. A $15 late fee will be applied to accounts not paid by the 15th of the month. There is a $35 returned check fee, per check, on all returned checks. Tuition remains the same regardless of absences and whether it is a long (5-weeks) month or a short (3- weeks) month! Tuition is per month – not per class. If you need to drop or add a class at any time during the year, you will need to fill out a drop form. Not showing up for classes does not constitute a withdrawal from class. You will continue to be charged for tuition until the drop form has been complete. If dancer is withdrawn from classes before the end of the season, there is a $50 withdrawal fee that will be charged to the credit card on file upon withdrawal. If monthly tuition payment is delayed past 30 days, Prodigy Dance Studio serves the right to hold the student from participating in class activities, and account will be sent to collections. There will be no tuition pro-rations at any time. Should students withdraw before the end of the season and then re-enroll for the same season, a $45 registration fee will apply. Classes are allotted for one hour, however due to dancers coming from other classes and preparation needed, instruction time will be approximately 50 minutes. Dancers will be allowed up to two water breaks per class, and bathroom breaks on request. Please have dancers use restrooms before class starts.
____Attendance - Good attendance is imperative, as absences and tardiness can hold back an entire class. Students should be prompt and prepared for class. There are make-up classes that are available to those students who miss class. A make up class can be made up with any style dance class. Refunds or discounts will NOT be given for any missed classes. Parents should not leave young students unattended in the waiting area before or after class.
____Substitutes – Prodigy Dance Studio reserves the right to provide a substitute teacher if the regularly scheduled teacher is ill or otherwise unable to teach classes. If a teacher is ill and the school cannot arrange a substitute any missed classes will be made up. When needed, classes may also be combined.
____Dismissal- Parents must pick up their dancers from the studio lobby at the time classes end. Parents are not to pick up dancers in the parking lot. Prodigy Dance Studio will not be responsible for any injuries that occur in the parking lot should parents decide to have dancers picked up in the parking lot area. Parents understand that dancers are not supervised in the parking lot, and Prodigy Dance Studio will not be liable for any occurrence outside of the dance studio building.
____Uniforms – Students must come to class in uniform, which will consist of pink tights, black Prodigy leotard, and black Prodigy shorts (or as indicated on Uniform List, depending on class). Appropriate shoes for each dance genre are required! No baggy t-shirts, baggy shorts, blue jeans, jewelry or other inappropriate attire will be allowed. Hair should always be slicked back and securely pulled away from the face. BALLET CLASSES REQUIRE A BUN! Students should be dressed and prepared for class before it starts. Please change into dance shoes before class. Every student is required to have on Prodigy shorts or Princess Prodigy skirt when entering or leaving the studio..
____ Parent’s Responsibility to be Aware of Dates and Events: It is the responsibility of the parent or adult student to be aware of all studio activities such as recitals, performances, extra classes, and dates the studio is open or closed. All information will be listed in the studio calendar, will be emailed, and will be posted throughout our communication platforms.
____Recital Policy-- All dancers will be participating in recital and are required to pay a one-time annual Recital Fee by November 1. Recital fees are $100 per dancer and will be entered on October 1. Recital Fees are Non- Refundable, and assist in securing the recital venue, recital programs, lighting techs, videographers, stage hands, recital awards, and staff. All dancers will receive a Recital T-Shirt, Year End Award, and Recital Video as part of this recital fee. Any dancers that register after November 1 will have recital fees input into accounts during registration, and payment will be due within 30 days. If you cannot have your dancer participate in recital, please advise us by emailing firstname.lastname@example.org
____Recital costume deposits are due by December 1 and are non- refundable. Deposits are $50 per costume. The costume balance will be entered into accounts as soon as costumes have been sourced for each routine and final cost is determined. Costumes which are not paid in full will NOT be ordered with the initial costume order and therefore may not arrive in time for recital pictures, or may be ordered at a higher cost, depending on availability. If only a deposit has been given for the costume, it will not be ordered, and deposit will be forfeited. Any students that register after December 1 will have costume deposits and fees entered upon registration and due within 30 days.
____All Accounts must be at a ZERO balance in order for dancers to perform at recital. Any students whose account has a delinquent balance as of May 30th WILL NOT be allowed to perform at recital! Recital and costume fees will NOT be refunded!
____Any balance left outstanding at the end of the season will be processed through the Auto Pay system or with the back up credit card on file, including late fees, tuition charges, merchandise sales, etc. Payments that do not go through will be sent to collections.
____ Release of Liability: Parent understands and is aware that participation in dance is potentially dangerous and involves risk of injury. Parent understands that these risks include, but are not limited to injury to ligaments, muscles, tendons, bones, and other aspects of the body that may include head, neck, or spine. Due to the dangers of this activity, parent understands the importance of their child following the teacher’s instructions regarding techniques, training, and other rules and agree that their child will obey these instructions. In consideration for allowing the child to participate Prodigy Dance Studio’s activities, Parent assumes all the risks associated with the sport of dance, and agrees to release Prodigy Dance Studio and its employees and staff from any and all liability/responsibility which may arise in connection with their participation in activities at Prodigy Dance Studio.
No food or drinks of any kind are allowed in the dance studios.
Chewing gum is never allowed in the dance studios.
I have read and agree to the following studio policies listed above:
______________________ ______________________ ______________________
Parent’s Name Signature Date