I am the parent/guardian of the dancer(s) listed on this page, a minor, who is enrolled as a student in a course of instruction in dance with the studio of Nicole R. Swope, t/a CENTRE DANCE, of State College, Pennsylvania. By enrolling the minor in his course I certify that I am aware of the possibility of injury in connection with the activities connected therewith. I understand and agree that neither the owners, operators, agents or instructors, including but not limited to Nicole R. Swope, may be held liable in any way for any occurrence in connection with the dance studio which may result in injury/illness or other damages to the minor, me or the minor's family heirs or assigns.
In consideration of the minor being allowed to enroll in this course, I hereby personally assume all risks in connection with the course, and I further release the instructors, program agents, and operators, including but not limited to the persons mentioned, of any injury/illness or damage which may befall the minor while the minor is enrolled as a student of the school, including all risks connected therewith, whether foreseen or unforeseen; and further, to save and hold harmless the program and persons from any claim by or on behalf of the minor or the minor's family, estate heirs or assigns, arising out of the minor's enrollment and participation in the course.
I further state that I am of lawful age and legally competent to sign this affirmation and release that I understand the terms herein are contractual and not mere recital; and that I have signed this document as my free act.
I have fully informed myself of the content of this affirmation and release by reading it before I signed it electronically.
I have understand and agree to follow the policies of Centre Dance as stated in the Parent/Student Handbook, which can be found at www.centredance2121.org
I agree that I am financially responsible for the to pay monthly tuition, costume fees, any late fees that I incur, and any other associated with dancing at Centre Dance. I understand that there are no refunds, credits, or deductions for classes missed or discontinued. I may, however, make up any missed classes within a one-month period. I understand that I may discontinue my classes and financial obligation to Centre Dance at any point in the year by notifying Centre Dance in writing. Please note that you must contact Centre Dance in writing prior to the 1st of the month or you will be responsible for that month's tuition and any fees incurred. If you do not notify Centre Dance in writing, you remain responsible for all fees incurred until you do so.
I understand that ALL Centre Dance students must have a credit card on file with the studio. If a payment is not paid to the office by the due date, my credit card on file will be charged for the full amount.
I know and understand that it is my responsibility to check the email that I provide to Centre Dance and the Centre Dance website (www.centredance2121.org) regularly for updates and important information.
I check this box understanding that Centre Dance has permission to post pictures and/or videos of my child unless I send Centre Dance an email stating that I do not give them permission for this. I also understand that these photos/videos will only consist of photos/videos that pertain to Centre Dance.
