You must be 18 and older to register for an account.

Accident Waiver & Release of Liability Form
(Signed by Parent/Guardian or Self if 18 years old & older - typing your name indicates your acceptance)

WARNING: BY SIGNING THIS AGREEMENT, YOU WILL GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE TO RECOVER COMPENSATION FOR ANY ACCIDENT, INJURY, LOSS OR DEATH TO YOURSELF ARISING OUT OF YOUR PRESENCE AT ANY DANCE IMAGE ACADEMY ACTIVITIES.

By signing below, I hereby acknowledge and agree to the following:

In consideration of participation in any and all Dance Image Academy classes, activities, events, performances, rehearsals or practice sessions (collectively “Activities”), I hereby release, waive, and discharge Dance Image Academy, their affiliates, members, officers, directors, shareholders, employees, coaches, instructors, volunteers, agents, independent contractors, the landlord/owner of the buildings (collectively, the “Released Parties”) from any and all liability, actions, causes of action, suits, debts, statutory obligations, sums of money, claims and demands of every nature and kind whatsoever, at law or in equity, which I/ or the Minor ever had, now have, or which I/ or the Minor may at any future time have against the Released Parties, or any one or some of them, arising out of or in any way connected with the Minor’s participation in any Activities, including claims that allege negligent acts or omissions of the Released Parties, or claims arising from any statute.

I agree to indemnify and/or totally compensate the Released Parties from and against all Claims arising as a result of the Minor participating in any activity at or on the premises of the Activities. I agree to pay for all legal fees that are incurred as a result of any Claims made by me or on my behalf, or on the Minor’s behalf or that are otherwise related to or caused by my or the Minor’s actions or inactions.

I understand that by signing this Agreement, I am giving up the right to sue or make any Claim against the Released Parties on my behalf or on behalf of the Minor, and that this Agreement shall be binding on the heirs, executors, administrators, assigns, and personal representatives of myself or the Minor.

If any portion of this Agreement is held invalid, I agree that the remainder of the Agreement shall remain in full legal force and effect.

I appreciate that this Agreement applies whether the Released Parties are at fault or not and it limits the liability of all of the Released Parties, notwithstanding that not all of the Released Parties are formal parties to this Agreement. I understand that Dance Image Academy, in securing execution of this Agreement by me, is acting as agent or trustee on behalf of or for the benefit of the Released Parties, who shall to this extent be or be deemed to be parties to this Agreement.

I am aware that participation in the Activities has possible risks, dangers and hazards, and accept same entirely at the Minor’s own risk. I understand that the risks associated with that use include, but are not limited to:

· injuries resulting in muscular or soft tissue injuries including sprains, strains, bruises, scrapes, cuts, etc.;

· injuries resulting from the failure to properly use equipment or follow instructions;

· risk of experiencing fatigue, dizziness, fainting, etc. as well as the potential risk of further injury as a result of the above;

· injuries that may result from transportation accidents to and from the Activities.

I acknowledge that the above list is not inclusive of all possible risks associated with the Activities and in no way limits the extent or reach of this assumption of risk, release of liability, and indemnification. I understand that no amount of care, caution, instruction or expertise can eliminate the inherent dangers associated with the Activities.

I agree that the Released Parties are not responsible in the event of loss, damage, unauthorized use, theft, or injury resulting from and to any personal property that the Minor brings to the Activities.

I agree that the Minor will read and ensure that the Minor understands the rules of Dance Image Academy, and that the Minor will abide by those rules, or others given during any Activities.

I have read and understood this Agreement and am executing this Agreement freely and voluntarily without any compulsion on the part of the Released Parties. I understand that this Agreement contains a promise not to sue the Released Parties and provides for a release and indemnity for all Claims.

Acknowledgement of reading the payment policy agreement & info below
(Signed by Parent/Guardian or Self if 18 years old & older - typing your name indicates your acceptance)

I understand tuition is due every month on the 1st. Late fees will be applied every month after the 8th for any outstanding balances.
I understand there is a late fee charge of $25.00 for any late payments of any kind without prior communication.
I understand there is a $25.00 returned check fee. Returned checks may also result in a late fee.
I understand my student can be suspended from classes if no or little payments are made over a span of 90 days (3 months). I will still be responsible to pay the fees accumulated for services received.
Dance is a full season commitment from September 2024-June 2025. I understand if my student is to withdrawal from DIA at any time during that time period, a STUDENT WITHDRAWAL form must be completed and turned in. Failure to do so will result in DIA continuing to charge your account for services. Any remaining tuition costs/monthly fees or outstanding balances on your account must be paid in full at the time of withdrawal. Withdraw from classes is needed at least 10 days before the next billing cycle to avoid getting billed new charges.
I understand monthly tuition and fees will not be refunded for, but not limited to, the following reasons: class changes, missed classes, missed competitions, missed recital, etc. I also understand monthly tuition will not be pro-rated for missed classes; however, students may attend extra classes to make up for missed classes. See our “Satisfaction Guarantee” section in the registration booklet for more info.
I understand that my registration is not complete until I have returned this form signed and initialed plus paid my registration fee- $27 yearly Registration Fee. (or $22 Pre-Registration Fee)

Video & Photography Release
(Signed by Parent/Guardian or Self if 18 years old & older - typing your name indicates your acceptance)

I hereby authorize Dance Image Academy (the “Company” to publish photographs, videos, or any other form of media taken of the Minor during any Company workshop, class, or any other event, and the Minor’s likeness, (the “Media”) for use in the Company’s print, online, and video-based marketing materials, as well as other Company publications or marketing (the “Publications”). I hereby release and hold harmless the Company from any reasonable expectation of privacy or confidentiality associated with the Media. I further acknowledge that participation is voluntary and that I, nor the Minor, will receive any financial compensation of any type associated with the taking or publication of the Media or participation in Company Publications. I acknowledge and agree that publication of the Media confers no rights of ownership or royalties whatsoever. I hereby release the Company, its contractors, employees, and any third parties involved in the creation or publication of the Media or Publications, from liability for any claims by me or the Minor or any third party in connection with participation.