READ THIS AGREEMENT CAREFULLY BEFORE ENROLLING. THANK YOU!

Parent Release Form for Photography and Videography
I, the undersigned, give permission for Umbiance Center for the Performing Arts to use video footage and / or photographs of my child/ward,
_________________________________. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:
- printed materials (e.g., - brochures and newsletters)
- online and offline advertising and promotion
- videos and digital images such for use on Social Media
By signing this form, I acknowledge 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 Umbiance Center for the Performing Arts for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images.
Parent/Guardian Signature ___________________________ Date _______________
Health Information and Medical Release/Waiver (Section)
I, _______________________, the parent/guardian of___________________________, acknowledge that participation in dance is potentially dangerous and there is an inherent risk of injury involved.
In allowing my child to participate in Umbiance Center for the Performing Arts activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release Umbiance Center for the Performing Arts and it’s employees of any and all liability which may arise as a result of my child’s participation in activities at Umbiance Center for the Performing Arts.
Initial _____

Waiver and Release Liablity Form:

I, ________________________________ (print your name) have chosen to have myself or my child, ______________________ (print child’name/ your name), participate in dance instruction given by Umbiance CPA LLC. I acknowledge that I understand the nature of the activities my child will be participating in and the possibility that despite precautions, accidents and/or physical injury may occur.

I/we agree to release and hold harmless Umbiance CPA LLC. including its teachers and staff members from any cause of action, claims, or demands now and in the future. I/we will not hold Umbiance CPA LLC. liable for any personal injury or any personal property damage or loss, which may occur on the premises before, during or after classes or which may occur at any UCPA. sponsored event outside the studio.

Furthermore I/we agree to read and follow the class and facility policies and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by UCPA. The policies can be found on our site at www.Umbiancedance.com under the studio policies tab.

By signing up through the DSP system I authorize and agree Umbiance Center for the Performing Arts may take and use photographs, videos or likenesses of myself or my child as needed for its record keeping, advertising, social media and/or public relations projects and that I have no rights to the same and will not be compensated for the same.

DROPPING A CLASS
Students may drop a class at any time. However, any class dropped after the second week will not be refunded. In addition, parents must give a 30-day notice to prevent additional charges. In order to for a student to be officially dropped from a class, a Drop Class Form must be filled out and turned in to the front desk. Not attending class does not disenroll the student from the class and additional fees may incur until a Drop Class Form is received. Drop Class Forms are available online and at the front desk and must be completed and turned in before your child will be removed from the class.

TUITION FEES
Tuition is always due on the 1st of the month with a grace period until the 5th. A $25.00 late fee will be added after the 5th of each month. Tuition is paid each month (Sept - June) unless a drop form is received by the front desk. Tuition is nonrefundable after the second week.

My signature or check in the appropriate box is proof of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I am of lawful age and competent to sign this affirmation.

I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO SIGNING (check the appropriate box).

(The UCPA Student & Parent Handbook (2023-2024) is found under the MORE tab and then Documents & Files)

Any and all information contained in the UCPA Student & Parent Handbook is subject to change at the discretion of the UCPA Director and Staff. Parents and students will be notified in a timely manner of any changes. Please be certain that you and your students have both read the UCPA Student & Parent Handbook in its entirety before signing below.  We ask that parents read the handbook to those students who are unable to ensure that they are aware of their responsibilities at the studio.  An additional form must be turned in for each student in multiple student households.

By electronically signing this waiver, I am stating that I have read the UCPA Student & Parent Handbook (available on Dance Studio Cloud) and agree to adhere to the policies stated within.  I have also made my student(s) aware of these policies as related to them and maintain responsibility as a parent to ensure that my student adheres to the policies as well.  I further understand that consistent disregard of these policies could result in immediate dismissal of myself and/or my dancer from participation in any classes, performances or programs related to UCPA.

READ THIS AGREEMENT CAREFULLY BEFORE ENROLLING. THANK YOU!

Parent Release Form for Photography and Videography
I, the undersigned, give permission for Umbiance Center for the Performing Arts to use video footage and / or photographs of my child/ward,
_________________________________. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:
- printed materials (e.g., - brochures and newsletters)
- online and offline advertising and promotion
- videos and digital images such for use on social media
By signing this form, I acknowledge 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 Umbiance Center for the Performing Arts for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images.
Parent/Guardian Signature ___________________________ Date _______________
Health Information and Medical Release/Waiver (Section)
I, _______________________, the parent/guardian of___________________________, acknowledge that participation in dance is potentially dangerous and there is an inherent risk of injury involved.
In allowing my child to participate in Umbiance Center for the Performing Arts activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release Umbiance Center for the Performing Arts and it’s employees of any and all liability which may arise as a result of my child’s participation in activities at Umbiance Center for the Performing Arts.
Please check box "I agree to the terms and conditions"