I agree and acknowledge that injury may result during instruction including but not limited to as a result of physical contact with other students, instructors, or fixed or movable objects, or the condition of the floor. I represent that my student is medically able to participate in dance classes, workshops, rehearsals, photo shoots, and performances and to meet the physical demands therof. I am fully aware and understand that there are risks and dangers associated in dance classes which may include but are not limited to those of bodily injury and partial or total disability. The social and economic losses/or damages which could result from these risks could be severe. I understand that these risks and dangers may be caused by negligence of the participant or the negligence of others. I accept and assume such risks and responsibilities for the lessees and/or damages following such injury and/or disability however caused or alleged to be the cause in whole or in part by the negligence of J Marie Dance Center, it's instructors, hosts, other participants, sponsors, advertisers, officers and lessees of the premises used to conduct the event or activity and each of them, their officers, directors, agents and employees. I, the undersigned, for myself, my spouse, my child, heirs, legal representatives and assigns, expressly release, waive, discharge and hold harmless J Marie Dance Center, it’s directors, instructors, staff, employees, agents, successors, predecessors, sponsors, legal representatives, and assigns from all claims, demands, losses, actions, judgements, suits, executions and liabilities of any kind. In addition, this release is for the entire premises of J Marie Dance Center. We agree to assume all risks associated with participating in dance instruction, workshops, rehearsals, photo shoots, and performances at or in connection with J Marie Dance Center. Participants over 18 years of age. I agree to and represent that I am at least 18 years of age, understand and agree to the terms, conditions, and policies of J Marie Dance Center. Participants under 18 years of age. I, the undersigned, am the legal parent/guardian of the registrant(s) and agree to the terms, conditions, and policies of J Marie Dance Center.
J Marie Dance Center students may decline to participate in any activity but must inform the director, instructors, or office staff of any physical limitations they have. I agree to consult my physician if I or my child have any injuries prior to participating in any J Marie Dance Center classes, workshops, performances, or events where I or my child will be dancing. I represent that I or my child is physically able to to participate in all J Marie Dance Center activities. I hereby authorize any and all medical attention to be administered to myself or my child in the event of injury, sickness, accident, and other situations in which medical attention is deemed necessary, by J Marie Dance Center staff, until I or the emergency contact may be contacted. I assume the responsibility for payment of any medical or emergency treatment deemed necessary. I have made J Marie Dance Center fully aware of any special medical needs or information required for my child or myself.
I understand there is a 30 day written notice required to withdrawal from a class or classes. I understand there is a $25 late fee if tuition is not received by the 5th of the month. I understand monthly tuition is the same regardless of the number of classes in the month. I understand if my check is returned for non sufficient funds, my account will incur a $35 non sufficient fund fee. I understand that I or my child will not be officially enrolled in a class until the registration fee is received. I understand and agree that I have the option to pay by cash, check, or charge at J Marie Dance Center. If my payment of cash or check is not received by the 5th of the month, my card on file will be charged. There is a non refundable $30 enrollment fee per new student or $45 per new family. Returning students who are currently enrolled in Opening 2019 classes have a reduced registration fee of $20 per returning student or $30 per returning family. If a student and/or family registers before June 10th, the registration fee will be waived. If a student and/or family registers after June 10th, the registration fee will be added to your account.
Summer Camps/Classes 2019: I understand there is a non-refundable $5 registration fee per new student or $10 fee per new family for summer 2019 camps/classes/Intensives. This fee will be added to your account. I understand my spot in a camp/class is not guaranteed until full payment is received. I understand and agree that I have the option to pay by cash, check, or charge at J Marie Dance Center. Please select cash or check if you do not want J Marie Dance Center to charge your card on file. If you select card we will charge your card on file for the full price of the camp and registration fee if applicable. The registration fee is for new students only. Active, currently enrolled students do not have to pay the registration/enrollment fee for summer camps/classes. I understand that I, or my child, will not be officially enrolled in a camp/class/intensive until the full payment is received. I understand if my check is returned for non sufficient funds, my account will incur a $35 non sufficient fund fee.
I, the undersigned, give permission for J Marie Dance Center to use video footage and / or photographs of my child/ward. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to: - printed materials (eg - brochures and newsletters) - online and offline advertising and promotion - videos and digital images such for use on Social Media.
By agreeing to this form, I acknowledge that I am giving unrestricted permission for my child's image to be used in print, video, and digital media. I agree that these images may be used by J Marie Dance Center for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname will not be used in conjunction with any video or digital images.
