Agreement Statements:
1) Parent/Guardian gives consent for the student to be photographed without compensation, for use in media, ourwebsite, publications, and other promotional materials. Minors will not be identified on the website.
2) Registration is not complete unless registration fees and 1st month's tuition is paid in full.
3) Parent/Guardian is responsible for all tuition fees, costume fees, tights, shoes, etc.
4) The dance instructor will be notified in sufficient time of my child's absence.
5) Recital Costumes are billed to your account in October, November, and December. Payments range from $20-$35 per installment.
6) Refunds will not be given for missed classes. Make-up time can be scheduled with your dance instructor.
7) Late fees will be assessed on the 8th of every month.
8) Auto-pay enrollment is a requirement through Dance Studio Pro. for each student. Your credit card will not be charged if your fees are paid on or before the 8th of each month.
9) $35 NSF fee will be applied on all returned checks or declined credit card payment through Auto Payment.
10) I have been given a copy of Miss Michele & Co. Medical Release Form and completed all information.
11) I have been given a handout which includes Miss Michele & Co. Policies & Procedures and agree to abide by them.

By signing this document, I hereby agree to all 11 statements listed above. I understand that NO REFUNDS will be given for any and all registration fees paid towards 2024-2025 Dance Season.

Michele Winchester | Studio Owner | www.missmicheleandco.com
Miss Michele & Co.| 210 & 212 S. Front Street | Dowagiac, MI 49047


I, (parent/guardian's name), understand that dancing
and dance related activities present a risk of injury to the participant. I understand that there is an inherent risk of
injury that cannot be eliminated regardless of the care taken to avoid injury. I agree to assume that risk by
allowing my child (myself if 18 or older), to participate in these activities with Miss Michele & Co.

The undersigned acknowledges that the participant is in good health and does not have any history of a medical
or physical condition that would place the participant at risk due to the participant's medical or physical condition.
I do hereby release and forever discharge Miss Michele & Co., their predecessors and successors, employees,
agents and assigns, and all other persons, corporations, and entities from all claims, expenses, attorney fees, and
causes of action or suits of any kind or nature associated with the participant's involvement with activities
through Miss Michele & Co.

I further hereby give permission for any and all medical attention to be administered to my child in the event of
accident, injury, sickness, etc., under the direction of the physician(s) listed below or at any necessary emergency
facility, until such time as I may be contacted. I also assume the responsibility for the payment of any such
treatment. This release is effective for the period of one year from the date given below.

-Miss Michele & Co.