Emergency Information
To the best of my knowledge, the person who I am registering is in excellent health and can fully participate in Pioneer Valley Ballet (“PVBâ€) training. If necessary, I have included information on his/her/my medical history indicating a prior injury or condition that may affect his/her/my participation in the class activities.
In the event of an emergency, we will call the parent/guardian number first.
I have read, understood and agree to the above information.
Agreements - Please read each section.
Waiver of Liability
As the parent or legal guardian of child/ren named on registration form, I hereby release, indemnify and hold harmless PVB, its officers, members, advisors, Board of Directors, and all employees and agents, from all liabilities, suits, claims and/or demands of any kind or nature, legal or financial, whether caused in any way by the negligence or not, arising from the participation in or observation of any PVB activity for injuries to any person or property, whether on or off PVB premises. I acknowledge that the student/participant named above does voluntarily participate in any and all PVB activities and that the student/participant and I understand that certain risks are inherent to and from participation and involvement with PVB and in its various formal and informal activities. PVB is not responsible for any lost or stolen property, at any time.
I have read, understand, and agree with the Waiver of Liability.
Medical Release
As the parent or legal guardian of child/ren named on registration form, I request and authorize that in my absence the student/participant named below be treated at any hospital or medical facility for emergency treatment for any injuries sustained while involved in PVB activities. I request and authorize physicians, dentists, and other licensed health care providers, to perform any examination, diagnostic procedures, treatment, operative procedures or x-rays of the student/participant named below. I hereby authorize PVB, its officers, members, advisors, Board of Directors, and all employees and agents, to act for the student/participant named below according to their best judgment in providing or arranging for emergency care in any emergency circumstance requiring medical attention.
I have read, understand, and agree with the Medical Release.
 
Photo Release
As the parent or legal guardian of child/ren named on registration form, I hereby give permission for PVB, its assigns, licensees and legal representatives the right to use my child/ren’s image, likeness, picture, portrait or photograph and those of the children named below for the purpose of display, portfolio, advertising, website, or publication to promote the business without compensation to myself or my heirs. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns.
Additionally, as the parent or legal guardian of child/ren named on registration form, I hereby give permission for PVB, its assigns, licensees and legal representatives the right to use my child/ren’s image, likeness, picture, portrait or photograph and those of the child/ren named on registration form in all forms of media, including electronic media and/or composite representations, for advertising, trade or any lawful purposes and I waive any right to inspect or approve the finished product, including written copy that may be created in connection therewith.
I have read, understand, and agree with the Photo Release.
Payment Policy
Session Programs
Training fees and non-refundable registration fees are payable in full at the time of registration.
The balance is due the first day of the program. Unpaid balances after the first day of class are subject to a $5 per day late fee. Cancellations will be honored with a full refund (less the registration fee) if made at least three weeks before the first day of your child’s summer session. Cancellations made within three weeks of the first day of your child’s summer session will receive a refund of 50% of tuition less the registration fee.
Balances and Finance Charges
Any outstanding balances must be paid in full prior to submitting registration. Payments may be made by debit or credit card (Visa, MasterCard, Discover) at the office, or by mail. PVB will charge $25.00 for a returned check fee. Replacement payment and fee must then be in the form of money order or bank check. All balances not paid within 15 days of the due date will be charged a finance charge of 1% of the outstanding balance owed per month until paid in full. If at any time you would like a printed statement of your account you may request one.
I have read, understand, and agree with the Payment Policy.
Refunds and Cancellations Policy
Training fees are non-refundable after the first 3 weeks of classes. Credit will not be given for missed classes due to illness, snow days, or personal commitments. Refund requests after that time will be made at the sole discretion of the Board of Directors for extreme medical and humanitarian reasons only. A doctor's note for medical reason or supporting proof for humanitarian reason must be presented. Unless the student will no longer be training at PVB, approved refunds will ONLY be in the form of credit for future training fees. Any refunds approved will be paid out by the end of the PVB fiscal year. In the event of inclement weather, PVB will determine whether or not to cancel classes and/or rehearsals no later than 1:00pm on weekdays and 7:00am on Saturdays. This information will be available on the PVB answering machine, on PVB's Facebook page, and sent via e-mail. PVB reserves the right to cancel any class with insufficient registration and a full refund will be given.
I have read, understand, and agree with the Refunds & Cancellations policy.
Conduct Policy
As the parent or legal guardian of child/ren named on registration form, I understand that anyone found to be violating any of the rules, codes of conduct, or found to be disruptive to either another individual or group may be asked to leave the premises or off-site location at any time and be refused re-entrance without any full or partial refund.
I have read, understand, and agree with the Conduct Policy.
