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Student Waiver & Release of Liability
I, as parent(s)/legal guardian(s) of the above listed student(s) knowingly assume all injury and risks as relating to any
dance/tumbling/aerial silks activity sponsored by Green Dance Academy, LLC. As a parent or legal guardian, I consent to
the above listed student(s) to participate in activities, classes, and programs by Green Dance Academy, LLC. Upon
enrolling, I agree not to file any claim procedure in connection with any operators, employees, and/or agents of Green
Dance Academy, LLC, therefore from any liability or personal injury occurred by my child while participating in any
activities conducted by Green Dance Academy, LLC. I grant Green Dance Academy, LLC, the right to use and incorporate
the use of photographs and/or videotapes or any other film or digital recordings or image capture of my dancer for use
in publicity or display purposes relating to the business of Green Dance Academy, LLC. All choreography taught at Green
Dance Academy, LLC, is property of Green Dance Academy, LLC, and cannot be posted on social media or used in any
other way without written permission from the Owner. Student's supervision is limited to classroom time only. Please
discuss with your child proper behavior and the importance of not leaving the building during class. Your child's safety is
of the most importance to Green Dance Academy, LLC. Tuition is based on a 36week/9-month calendar. Classes missed
for holidays, and such will be made up with extra practices, dress rehearsal and five-week months. Full month tuition is
required each month. I understand that tuition is due on or before the 5th of each month. I understand that I can pay by
cash/check/credit card on or before the 5th of each month. In the event that I do not pay by cash/check/credit card the
credit card/bank account on file for my account will be charged the amount of my child's tuition on the 6th. I understand
that there is a $20 non-refundable registration fee due upon enrollment. I understand the discounts and refunds are not
given for missed lessons/classes. I understand other fees such as competition fees, performance fees, costumes, Recital
fees are not automatically charged to the credit card/bank account and other fees need to be paid by the date specified
by Green Dance Academy, LLC. If my account is outstanding and any fees that are not paid by the specified due date, I
shall pay all attorney's fees and court costs associated with the collection agency. I understand that if I have a returned
check, I will receive a $25 NSF to my account and I must pay the amount of the check and NSF in full via cash within 7
business days of being notified. I agree that it is my responsibility to be aware of when my credit card expires. A late fee
of $20 will be added to my account if I do not update my credit card information before the due date, or if I do not notify
Green Dance Academy, LLC, of an expired, lost or stolen credit card prior to the due date. I understand that it is my
responsibility to notify Green Dance Academy, LLC if I want to remove or "drop" my dancer from any classes before the
1
st of each month. If I do not notify Green Dance Academy, LLC, before this date, tuition will be charged, and no refund
will be given. If I do not want my dancer to perform in the end-of-year recital, I understand that I need to notify Green
Dance Academy, LLC, before December 1st. I have received or will obtain a copy of Green Dance Academy, LLC, policies
and will take the responsibility to carefully read and follow the rules, procedures and policies therein. I understand that
Green Dance Academy, LLC, does not give credit and/or refunds for class(es) missed due to holiday, vacation, illness, etc.
I further understand that there are specific risks of physical or property damage, losses, or injury that may result from
me or my child’s participation with Green Dance Academy, LLC, and I voluntarily assume the risks associated with such
participation.
I certify that I have read and will abide by the policies as stated in this form and I hereby release Green Dance Academy,
LLC, their Teachers and/or Assistants for any injury, damage and/or loss that may occur throughout the year. By
selecting the "I Accept" checkbox, I am signing this agreement electronically. I agree this electronic signature is the legal
equivalent of my manual signature on this agreement. I have had sufficient opportunity to read this entire document. I
have read and understood it, and I agree to be bound by its terms.