Lisa's Dance Elite

Student Information

Name

Address

City

Zip

Age

Birthdate

Previous Dance Training

Medical Information (Allergies etc.)

Parent/Guardian Information

Parent Name(s)

Address

Email Address

Emergency Contact Name

Emergency Contact Phone Number

How did you hear about us?

Classes

Jazz
Hip Hop
Acrobatics/Tumbling
Ballet
Lyrical/Contemporary
Tap
Mommy and Me (18 months- 3 years)
Baton
Gymnastics
Modern

Lisas Dance Elite Waiver, Release, and Hold Harmless Agreement

In consideration of the permission and privilege allowed the child to participate in the dance activities of Lisa's Dance Elite, the undersigned, on behalf of himself, the child and any other parent release, discharge and or otherwise specifically agree to indemnify, save and hold harmless LISA'S DANCE ELITE, it's owners, agents, and employees, as well as all other participants in the dance program, from any and all losses, claims actions or proceedings of damages for any injuries to the students or for any other damages suffered during the conduct of the above-described, the undersigned. In accepting the permission and privilege to participate, the undersigned understand that this Agreement extends to and applies to any personal injuries, results, damages, losses or consortium claims allegedly experienced or suffered while the students engage in the dance program classes or the other activities. The undersigned agrees not to file suit or initiate any claim procedure in respect to any personal injuries, property damages, consortium claims or losses which they may experience or sustain, arising directly out of activities or emergency medical care arranged by LISA'S DANCE ELITE or it's agents. The undersigned, on behalf of themselves and their minor, freely assume all risks, hazards and losses which may befall them in connection with their participation in the dance program, related activities and emergency medical care. My child is and must be covered by our own medical insurance and is able to participate in physical activity. I am aware LISA'S DANCE ELITE may use photographs of my child for promotional purposes on their website, Facebook page, and/or print. This agreement is binding upon our administrators, executors, heirs, and assigns

User Agreement

I agree with the above statements. 

Studio Policies

I AM AWARE OF THE FOLLOWING: • REGISTRATION FEE AND $25 COSTUME DEPOSIT PER CHILD DUE AT REGISTRATION • DANCE TUITION IS BROKEN DOWN INTO MONTHLY PAYMENTS. TUITION IS DUE BY THE FIRST OF EACH MONTH NO MATTER HOW MANY WEEKS ARE IN THE MONTH . THERE IS A $10.00 LATE CHARGE ASSESSED IF MY TUITION IS NOT PAID FOR BY THE 15TH OF EACH MONTH • THERE IS A $30.00 LATE CHARGE PER RETURNED CHECK. LISA'S DANCE ELITE WILL NOT ACCEPT PERSONAL CHECKS IF THIS IS REPEATED. • LISA'S DANCE ELITE WILL NOT MAKE UP CANCELLED CLASSES DUE TO SNOW UNLESS THERE ARE MORE THAN 2 CLASSES MISSED. THE TUITION EACH MONTH WILL REMAIN THE SAME REGARDLESS OF THE NUMBER OF WEEKS IN THE MONTH OR WHETHER MY CHILD IS PRESENT FOR CLASS. THERE ARE NO REFUNDS IF MY CHILD MISSES ANY CLASSES. • I AGREE TO PAY FOR THE COSTUME OR COSTUMES. ANY COSTUME ORDERED FOR MY CHILD CANNOT BE RETURNED NOR ARE ANY CHARGES SUCH REFUNDABLE INCLUDING (REGISTRATION OR TUITION FEES) SHOULD I WITHDRAW MY CHILD FROM THE RECITAL OR LISA'S DANCE ELITE. PROPER NOTICE IS REQUIRED SHOULD I DECIDE TO WITHDRAW MY CHILD FROM LISA'S DANCE ELITE, LISA'S DANCE ELITE HAS THE RIGHT TO TERMINATE ENROLLMENT OF MY CHILD AT ANY TIME. NON-REFUNDABLE REGISTRATION: $25.00 PER STUDENT OR $30.00 PER FAMILY COSTUME FEES 65.00 PER COSTUME DEPOSIT OF $25.00 PER CHILD IS DUE AT REGISTRATION DEPOSIT OF $25.00 PER CLASS IS DUE BY NOVEMBER 7TH COSTUME BALANCE DUE BY DECEMBER 9TH

User Agreement

I understand and agree to the above terms, as well as, all other studio policies