COVID-19 Full Out Performance Dance Co. Screening and Consent Form
I knowingly and willingly consent to have my child participate in programs with Full Out Performance Dance Co LLC during the global COVID-19 pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not with the current limits in virus testing.
I confirm that my child does not show any signs listed below and if they do that they will remain home and not attend any in-studio dance classes at Full Out. and members of my household have not in the past 14 days had any of the following symptoms of COVID-19 listed below:
• Fever
• Shortness of breath
• Cough or any flu like symptoms including GI upset, headache, fatigue • Runny nose
• Sore throat
• Recent loss of taste or smell
I will hold harmless and indemnify, Full Out Performance Dance Co, LLC., teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions, in exchange for programs with Full Out Performance Dance Co, LLC during this Covid-19 pandemic and such activities taken at Full Out Performance Dance Co., LLC.
I make this decision for my child of my own free will relying upon my knowledge and judgment of any injury they may have sustained or possible transmission of COVID-19 during participation in programs and my decision to release has not been affected by any false statements or representations pertaining to those injuries. I understand that this action is my decision. Accordingly, this agreement is not an admission of any liability regarding Full Out Performance Dance Co LLC, teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions. I have carefully read this release and understand its contents, and I am signing it of my own free act.
Please be advised that there may be risks in being in the proximity of other people. We are taking many precautions to limit the spread of disease, yet there is still a possibility of transmission.
PLEASE do not send your child to the studio if they are sick. This Covid-19 screening and consent to participate will be used each day programs are held. Please know that for future classes and programs this written consent form will be in effect, and your consent plus negative Covid-19 screening will be shown by sending your child to the program. If your child or someone in the home has any of the symptoms above, please do NOT send your child to studio.
If you send your child to the studio, you are consenting to this form, and stating your child and any members of the home are negative for all of the Covid-19 symptoms stated above.

Parent/Guardian Signature: ___________________________ Date: ___________ Child’s Name: ___________________

POLICIES
Tuition and Registration

An annual enrollment fee of $35.00 per dancer or $50.00 per family (2+ dancers) will be collected at the time of registration.

Tuition is due on the 1st of every month.

A late fee of $15.00 will be assessed on the 5th of every month if payment is not made.

A $25.00 service fee is charged on all returned checks.

All students with unpaid tuition will not be able to participate in classes until account is current.

Full Out Performance Dance Company accepts cash, check, bill pay, or VISA/MasterCard

A 3% surcharge shall be assessed when paying with credit or debit cards.

​

Contact Information

If any of your contact information should change during the course of the dance season, especially your email address, you agree to contact the studio as soon as possible to have records updated.

Class Withdrawal

If for whatever reason the student(s) decides to discontinue any or all classes, a 30 day written notice must be provided to Full Out Performance Dance Co., LLC. If a written notice is not provided 30 days in advance, you understand that you are responsible and charged for the next month’s tuition and all costumes will be forfeited.

Refunds

Full Out Performance Dance Co., LLC will not issue refunds for any missed class nor early withdrawal during a session. Dancer's are encouraged to complete the season and a makeup class(es) in the event of an absence. Makeup classes must be taken within 30 days of the absence.

Video & Photo Waiver

You give Full Out Performance Dance Co., LLC permission for the public display of pictures and or video of child(ren) for possible advertisement purposes (i.e. brochures, newspaper ads, web site, etc. no names will be used).

Recital Costume/Tuition Balance

Costumes must be paid in full and tuition must be current before costumes may be taken home.

Medical Emergency

You give permission to Full Out Performance Dance Co., LLC and its owners and operators to seek medical treatment for the students listed above in the event they are not able to reach a parent or guardian.

Release of Liability

As the legal parent or guardian, I release and hold harmless Full Out Performance Dance Co., LLC its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while in or upon the premises or any premises under the control and supervision of Full Out Performance Dance Co. its owners and operators or in route to or from any of said premises.

Additional Policies

Full Out recognizes and closes on all National holidays.

Full Out has the right to hire substitute teachers/instructors at any time due to illnesses or absenses.

All transactions within the studio, including: competitions/conventions and tuition payments, are non-refundable and non-transferable.

COVID-19 Full Out Performance Dance Co. Screening and Consent Form

I, _____________________________________, knowingly and willingly consent to have my child participate in programs with Full Out Performance Dance Co LLC during the global COVID-19 pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not with the current limits in virus testing.
I confirm that my child does not show any signs listed below and if they do that they will remain home and not attend any in-studio dance classes at Full Out. and members of my household have not in the past 14 days had any of the following symptoms of COVID-19 listed below:
• Fever
• Shortness of breath
• Cough or any flu like symptoms including GI upset, headache, fatigue • Runny nose
• Sore throat
• Recent loss of taste or smell
I will hold harmless and indemnify, Full Out Performance Dance Co, LLC., teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions, in exchange for programs with Full Out Performance Dance Co, LLC during this Covid-19 pandemic and such activities taken at Full Out Performance Dance Co., LLC.
I make this decision for my child of my own free will relying upon my knowledge and judgment of any injury they may have sustained or possible transmission of COVID-19 during participation in programs and my decision to release has not been affected by any false statements or representations pertaining to those injuries. I understand that this action is my decision. Accordingly, this agreement is not an admission of any liability regarding Full Out Performance Dance Co LLC, teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions. I have carefully read this release and understand its contents, and I am signing it of my own free act.
Please be advised that there may be risks in being in the proximity of other people. We are taking many precautions to limit the spread of disease, yet there is still a possibility of transmission.
PLEASE do not send your child to the studio if they are sick. This Covid-19 screening and consent to participate will be used each day programs are held. Please know that for future classes and programs this written consent form will be in effect, and your consent plus negative Covid-19 screening will be shown by sending your child to the program. If your child or someone in the home has any of the symptoms above, please do NOT send your child to studio.
If you send your child to the studio, you are consenting to this form, and stating your child and any members of the home are negative for all of the Covid-19 symptoms stated above.

Parent/Guardian Signature: ___________________________ Date: ___________ Child’s Name: ___________________

Tuition and Registration
An annual enrollment fee of $35.00 per dancer or $50.00 per family (2+ dancers) will be collected at the time of registration.
Tuition is due on the 1st of every month.
A late fee of $15.00 will be assessed on the 5th of every month if payment is not made.
A $25.00 service fee is charged on all returned checks.
All students with unpaid tuition will not be able to participate in classes until account is current.
Full Out Performance Dance Company accepts cash, check, bill pay, or VISA/MasterCard
A 3% surcharge shall be assessed when paying with credit or debit cards or online.
​
Contact Information
If any of your contact information should change during the course of the dance season, especially your email address, you agree to contact the studio as soon as possible to have records updated.

Class Withdrawal
If for whatever reason the student(s) decides to discontinue any or all classes, a 30 day written notice must be provided to Full Out Performance Dance Co., LLC.  If a written notice is not provided 30 days in advance, you understand that you are responsible and charged for the next month’s tuition and all costumes will be forfeited.

Refunds
Full Out Performance Dance Co., LLC will not issue refunds for any missed class nor early withdrawal during a session.  Dancer's are encouraged to complete the season and a makeup class(es) in the event of an absence. Makeup classes must be taken within 30 days of the absence.

Video & Photo Waiver
You give Full Out Performance Dance Co., LLC permission for the public display of pictures and or video of child(ren) for possible advertisement purposes (i.e. social media, Instagram, Website, Facebook, etc.).

Recital Costume/Tuition Balance
Costumes must be paid in full and tuition/balance must be current before costumes may be taken home.

Medical Emergency
You give permission to Full Out Performance Dance Co., LLC and its owners and operators to seek medical treatment for the students listed above in the event they are not able to reach a parent or guardian and need medical attention.

Release of Liability
As the legal parent or guardian, I release and hold harmless Full Out Performance Dance Co., LLC its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while in or upon the premises or any premises under the control and supervision of Full Out Performance Dance Co. its owners and operators or in route to or from any of said premises.

Additional Policies
Full Out recognizes and closes on National holidays.
Full Out has the right to hire substitute teachers/instructors at any time due to illnesses or absenses.
All transactions within the studio, including: competitions/conventions and tuition payments, are non-refundable and non-transferable.