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Emergency Medical Consent Agreement/ Waiver…This form is required by insurance in order to register a student. Witnesseth: I understand fully that all physical activity, including both dance and adult fitness classes, pose a potentially hazardous risk, and I assume complete responsibility for this risk. Knowing this fact, and in consideration of these risks, I hereby for myself, my child, or kin thereof, voluntary relinquish, waive, release, discharge, and covenant not to sue instructor or proprietors and/or owners of property in which the classes are held, with respect to any and all actions or causes of action involving personal injury, property, and even death, even in the event of negligence. I also hereby consent to permit, and accept responsibility for emergency treatment in the event of injury or illness. This release and waiver extends to all kinds to claims whatsoever, foreseen and unforeseen, known or unknown.
Parent Signature _____________________________________________________________
Emergency Contact and Phone # __________________________________________________
Read before signing, as you will be held responsible for upholding this agreement:
I understand that since a place is held for me, registration fees and tuition are not refundable regardless of reason with no exceptions to this policy, and I will not ask for an exception to be made. Again, ALL TUITION and REGISTRATION FEES are NON-REFUNDABLE for all short sessions, one time classes, or year-long classes.
The following applies only to students enrolling in ongoing classes for the 2019-2020 September - June season rather than specified short sessions:
I understand that the tuition installment will be charged every month to my account until June 30 of 2020, or until I give a written 30 day notice. If I give written notice to drop, I am responsible for tuition for the 30 day and tuition will be pro-rated. I understand that tuition is calculated for our Sept. - June dance year, and then divided into 10 equal installments for my ease of payment. I understand that I will not be charged more for months that have 5 class days, nor will I receive a discount for months that have 3 class days. I realize that tuition is due in advance before the 1st of the month, and that after the generous grace period of 10 days, I will be charged a 15.00 late fee on the 11th. I understand that tuition is due before the 1st regardless of whether the studio is open or closed, as I have many options to pay - through our online payment system, in person at the studio, by phone, or by mail. If you have any questions, ask before signing. Your signing signifies that you understand fully the content of this agreement.
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