Today's Date

MM

DD

YYYY

Dancer's Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dancer's Birthday *

MM

DD

YYYY

Gender *

Female

Male

Transgender

Non-Binary

Radio *

She/Hers

He/His

They/Their

Parent's Name

First Name

Last Name

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Home Phone or secondary Cell

(###)

###

####

Tuition Policy: *

Tuition is an annual rate broken down into 10 even monthly payments which must be paid by the 7th of the month or a $15 Late fee will be assessed. Regardless of the amount of weeks in any given month, the tuition WILL ALWAYS BE THE SAME AMOUNT.

I UNDERSTAND & AGREE

AUTOCHARGE ENROLLMENT *

All Tuition and costume payments must be made via AUTO CHARGE which I will sign up for. The monthly amounts will be automatically taken out of my account on the 23rd-29th of the previous month.

I UNDERSTAND & AGREE

REFUND POLICY: *

Refunds/Credits are NOT GIVEN for classes missed once tuition has been paid for a given month. Classes must be completed for that month. If I wish to discontinue dancing, I must notified the studio by the 22nd of the month previous to the month in which I or my child wishes to stop dancing. Refunds will not be given out regardless of reason for missing classes.

I UNDERSTAND & AGREE

COSTUME DEPOSIT POLICY: *

Costume deposits must be paid as follows: $25 deposit per dancer in October, November, December. After ordering the costumes, 1/2 of balance is due in January and final 1/2 of balance must be paid in February. All costume balances must be paid in full by Feb. 7th or a $25 Late fee will be assessed.

I UNDERSTAND & AGREE

PHOTOGRAPHY/VIDEO PUBLICATION PERMISSION *

I permit my child to be photographed or videotaped for the use of advertising purposes such as newspaper ads, website content, social media posts, and show announcements. My child's name will not appear in any documentation or advertisement.

Yes, I allow

No, I do not allow

RISK OF PARTICIPATION: *

I acknowledge that I am aware of and willfully assume the risks associated with this activity, I hereby voluntarily agree to waive, hold harmless and indemnify To The Pointe of Performing Arts Inc. and its trustees, agents, volunteers and employees from any and all claims, demands, damages and causes of action of any nature whatsoever arising out of ordinary negligence which I, my heirs, my assigns or successors may have against them for, on account of, or by reason of participation.

I UNDERSTAND & AGREE

NON-FRATERNIZATION POLICY *

To The Pointe has a strict non-fraternization policy which does not allow owners, staff members, or trainees to participate in "after hours" activities such as babysitting, driving, car-pooling, tutoring, or fraternizing in any way with students under 18 years of age. Staff members who participate in these activities will be terminated. Students who participate in such activities will be asked to leave the studio. If I do not follow the fraternization policy, I am aware that I may be asked to leave the studio due to non-compliance of TTP's Fraternization policy.

I UNDERSTAND & AGREE

MEDICAL RELEASE: *

I or my child have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my or my child's participation in this activity or event. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity or event in which I may participate, and that it will govern my actions and responsibilities at said activity

I UNDERSTAND & AGREE

LIABILITY WAIVER: *

I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this event/lessons, THE FOLLOWING ENTITIES OR PERSONS: To The Pointe of and/or their directors, officers, managers, employees, volunteers, reps, and agents. I HEREBY WAIVE, RELEASE, AND DISCHARGE To The Pointe of Performing Arts Inc., and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, intensives, private instruction, choreography or any activity I may participate.

I UNDERSTAND & AGREE

ASSUMPTION OF RISK: *

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY OR EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I or my child is physically fit, have sufficiently prepared or trained for participation

I UNDERSTAND & AGREE

RELEASE OF CLAIM: *

I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this waiver, release and registration form from any and all liabilities or claims made as a result of participation in this activity or event, whether caused by the negligence of release or otherwise. The accident waiver and release of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I UNDERSTAND & AGREE

COMPREHENSION CERTIFICATION: *

I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

I UNDERSTAND & AGREE

Today's Date *

MM

DD

YYYY