REGISTRATION FORM - PLEASE READ ALL TERMS (KEEP SCROLLING DOWN) AND THEN FILL OUT THE FORM AT THE BOTTOM AND CLICK TO SEND FORM
ENROLLMENT AND TUITION
Tuition is paid every four weeks and an invoice will be emailed on the first date of each tuition period. From the date of invoice, you have 10 days to pay before a late fee of $10 will be incurred. Preferred payment methods are via a credit card on file, credit card over the phone or by PayPal online. Any payments submitted by check or cash will be credited the day it is received and must be submitted in an envelope by the student at the front desk drop box. Any returned checks must be paid within 7 days via cash or by calling in a credit card; a $25 returned check fee will be added. I also agree to assume all responsibility for all legal and collection fees incurred for delinquent accounts.
Registration enrolls your student through the May recital. Charges will continue to accrue until ACTUAL notice of dis-enrollment is given to Michele’s Dance Academy. Students wishing to withdraw from a class or from the Academy must do so in writing via email to email@example.com
Student may be refused admittance to a class if tuition payment is more than one month overdue. Recital Fees must be paid and tuition must be current in order to participate in performances (Holiday Spectacular in December and Extravaganza in May). Please note that all prepaid tuition and recital fees are non-refundable. I also acknowledge that participation in performances is NOT mandatory, but that if I do participate, there may be rehearsals outside of class time or at a performance theatre at no additional cost.
Students should not attend class if they have a fever, nausea/vomiting, diarrhea, difficulty breathing, infected skin or eyes or suspected communicable disease or lice . Please notify the studio if your child will not be attending class; call (575) 527-1893 or email firstname.lastname@example.org Please note - missed classes (i.e. illness, vacation or other) for the dance season, camps or workshops are non-refundable. If the studio cancels class due to instructor illness (when a replacement cannot be found) classes will be re-scheduled. If the studio cancels class due to an emergency i.e. inclement weather, power outage etc. classes will not be re-scheduled and are non-refundable. The school does reserve the right to alter class schedules, for any reason either temporarily or permanent without fault.
Students / Parents are responsible for make-up classes
that should be attended for classes missed. I understand that my child can make-up classes with any class of any type at their level within the same semester as the missed
classes. Make-up classes must be scheduled in advance to allow for social distancing guidelines that may be in effect; you can call or email.
EXCESSIVE ABSENCES: Students with excessive class absences may be dropped from a class and/or pulled from the recital dance with no refund. This is at the teacher's discretion. Dancers with excessive absences will receive a warning via email.
Michele’s Dance Academy will not be held liable for any stolen or damaged property.
I realize that any program that involves movement or dance can result in physical injury. In allowing my child to participate in Michele’s Dance Academy’s 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). As the legal parent or guardian, I hereby release and hold harmless Michele’s Dance Academy, its owners and instructors from any and all liability, claims, demands and causes of action whatsoever, arising out of or related to any loss, damage, or injury that may be sustained by the participant and/or the undersigned, while in or upon the premises of Michele’s Dance Academy or at performances. Permission is hereby granted to the studio and its representatives to transport my child to a local doctor or hospital for medical treatment if necessary in the event that they are not able to reach a parent or guardian. I hereby declare the participant to be in good physical and mental health.
Any photos or recordings will be at the discretion of Michele’s Dance Academy and will only be allowed when expressly indicated. All choreography remains the property of the school with all rights of ownership retained by the school. Students of Michele’s Dance Academy automatically grant permission to Michele’s Dance Academy to use their photos and videos for advertising and publicity purposes, inclusive of print advertising, social media postings, educational videos, television, videotaping, or film broadcast in connection with promotional campaigns.
In the instance that the government issues a State of Emergency and/or government mandated closure, all in-person dance classes will automatically switch to online/virtual dance classes.
The novel coronavirus, COVID-19, has been declared a
worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. It is believed that an individual can be in
infected with COVID-19 without their knowledge and be asymptomatic. Michele’s Dance Academy (MDA) has put in place preventative measures to reduce the spread of COVID-19. However, MDA cannot
guarantee that I or anyone else will not become infected with COVID-19, including my spouse, guests, unborn child, or relatives. Participation in MDA program(s), related event, or activity, could
increase the risk of contracting COVID-19. By signing this agreement, I ACKOWLEDGE the contagious nature of COVID-19 and VOLUNTARILY ASSUME THE RISK that I may be exposed to or infected by COVID-19
by participating in a MDA program(s), related event, or activity, and that such exposure or infection may result in personal injury, illness, permanent disability, and death to myself, my spouse,
guests, unborn child, or relatives. I understand that the risk of becoming exposed to or infected by COVID-19 at a MDA program(s), related event, or activity may result from the actions, omissions,
or negligence of myself or others, including, but not limited to, MDA employees, volunteers, and program participants. I UNDERSTAND AND VOLUNTARILY ACCEPT AND ASSUME ALL the foregoing risks related
to COVID-19 and accept sole responsibility for any injury or illness that may occur. Further, I UNDERSTAND AND AGREE that this release includes any Claims based on the actions, omissions, or
negligence of MDA, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any MDA program(s), related event, or activity.
I understand that I should be aware of my physical limitations and agree not to exceed them and will practice reasonable measures to reduce the risk of spreading COVID-19. When attending program(s), related event or activity, I must not have any symptoms of COVID-19 including but not limited to fever, sore throat, coughing, aches, respiratory problems, dry cough, fatigue, diarrhea, loss of taste or smell, chest pain, rash on skin, discoloration of fingers or toes, headache. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.
After your submitted form is received, your confirmation will be emailed to you along with additional updates.
Thank you for choosing Michele's Dance Academy!