I, the undersigned, in consideration for my voluntary participation in classes at Dance ELITE Performance Academy, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:
Dance is a physical activity that involves risks of injury. I assume all risks and hazards associated with my participation in this activity. I am in proper physical condition to participate in dance classes and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform my instructor if this status changes.
Dance E.L.I.T.E. does not have personal injury insurance that covers my participation. Therefore, I should have current, active, personal injury insurance policy in force which covers my participation. Under any condition. I am responsible for any and all medical expenses arising from my participation both in classes and performances.
I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of Dance E.L.I.T.E. without compensation.
For Individuals 18 years old and above - I hereby release, waive liability, discharge, hold harmless, and covenant not to sue, Dance E.L.I.T.E. or any of its partners, from any and all liability incurred in the conduct of, and my participation in, their dance programs. This includes owners, lessors and lessees of premises. municipalities, government agencies, successors. heirs or assigns. I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature attests to this on behalf of myself and my executors, personal representatives. administrators, heirs, next -of-kin, successors, and assigns.
For Individuals Under the age of 18 - As the parent and legal guardian of the participant (s), I hereby agree to the foregoing waiver of liability and release for, and on behalf of the participant dancer(s) I have registered for classes. I hereby bind myself, the minor (s), and all other assigns to the terms of the waiver and liability release. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor (s) in the execution of this waiver and liability release.
I hereby authorize Dance E.L.I.T.E. Performance Academy, LLC to initiate automatic payments to my account from the credit card or checking account named below. I have entered the full card number, expiration date and billing address for this credit card or the routing and account number for the bank account. Further, I agree not to hold Dance E.L.I.T.E. responsible for any delay due to incorrect or incomplete information supplied by me or due to an error on the part of my credit card or bank account to post payment to my account. If I intend to discontinue any and/or all lessons at any point before the end of this agreement, I understand that I must give written notification via studio email, firstname.lastname@example.org. IF I DO NOT NOTIFY Dance E.L.I.T.E. Performance Academy, LLC 14 DAYS PRIOR TO THE 1ST OF THE MONTH THAT I INTEND TO DISCONTINUE LESSONS, I WILL BE CHARGED FOR THAT MONTH.
I agree that my student's tuition at Dance E.L.I.T.E. Performance Academy is due on the 5th of each month. If my tuition has not been paid by close of business on the 5th of each month, a $15.00 late fee will be automatically debited from my account, along with tuition. If I have not paid my tuition by the 30th day of the month, my student will not be allowed to take class or participate in rehearsals. I agree that any tuition payment made is non-refundable. I agree that if my check is returned to Dance E.L.I.T.E. due to insufficient funds, I shall cover the check with a money order, cashier's check, or cash plus a $25.00 returned check fee, within 3 days of receiving notification from Dance E.L.I.T.E. I understand that if I write 1 bad check anytime during the season, I will no longer be able to make payments via check to Dance E.L.I.T.E Performance Academy, LLC. This agreement will remain in effect until the end of the 2018- 2019 dance season or until Dance E.L.I.T.E. Performance Academy, LLC receives a written notice of cancellation.