Registration
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This is a two day event~ Friday, October 4: Int/Adv Contemporary 4:30 pm-6:30 pm Saturday, October 5 Int/Adv Jazz Funk 11:30 am -1:00 pm To learn more about Blake, visit our website: www.thedancecentrebyheidi.com!
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Family Information
First Name:
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Last Name:
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Relationship to student
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Email:
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(Emails are kept confidential)
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
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Grade Level:
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preschool
kindergarten
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college-freshman
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List any prior dance training :
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This will be _____#yrs at TDC:
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Add New Student #2:
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Student's First Name:
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Student Gender:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
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Grade Level:
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preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
List any prior dance training :
*
This will be _____#yrs at TDC:
*
Add New Student #3:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
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Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
List any prior dance training :
*
This will be _____#yrs at TDC:
*
Add New Student #4:
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Student's First Name:
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Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
List any prior dance training :
*
This will be _____#yrs at TDC:
*
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
List any prior dance training :
*
This will be _____#yrs at TDC:
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Additional Information:
COMMUNICATION & PARENT PORTAL
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Please make sure to record your login and password information for your Parent Portal login. This is a valuable resource for checking your child's schedule, account balances, class attendance and much more.
I've read the above and agree.
REGISTRATION and TUITION
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There is no registration fee for weekend and guest workshops.
All tuition rates include TDC's convenience/processing fees.
Workshop fees are due at time of registration and are non-refundable. Your credit card or ACH will be charged for the workshop upon registration.
TDC reserves the right to make necessary changes and updates to our policies. We will contact you through the Parent Portal regarding any changes.
TDC reserves the right to cancel, change or reschedule a workshop based on attendance and/or registration. Upon event cancellation, you would be given a refund for the amount you paid upon registration.
I've read the above and agree.
COLLECTION OF UNPAID BALANCES
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In the event TDC is required to take legal action to collect any unpaid balance from client, client acknowledges and agrees that, in addition to all damages related to the unpaid balance, TDC shall also be entitled to recovery and reimbursement of all its costs and expenses incurred in connection with such legal action, including reasonable attorney's fees, from client.
I've read the above and agree.
PARKING and DROP-OFF
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Parking for TDC is behind the building. Parking at the upper level is available after 5:00 pm on weekdays and anytime on Saturday and Sunday. Additional parking is available towards the southwest end of Smith Court at: Stoneridge Building, 20006 Detroit Rd.
Do not park in front of the building directly across the street from TDC - they only have a few spots for their clients and will tow unauthorized vehicles.
The drive at the south side of TDC building is a 2-way drive leading to TDC's main entrance in the back. Students may also be dropped off at the front of the building via the semi-circular drive. Students should not be dropped off upstairs and left to wait alone in the (upstairs) lobby. Students who have class in studio T (upstairs) should wait in the downstairs main lobby until the teacher arrives and class begins.
Do not block the drive on the south side of the building. As a courtesy to those trying to leave the parking lot, and to help keep traffic moving, if you are blocking the flow of traffic at the semi-circular drive in front of the building, please leave the parking lot and re-enter.
Do not keep vehicles idling by open windows and be sure to turn off headlights if facing the mirrors in the studio. Headlights reflecting off the studio mirrors are very distracting.
Students should be picked up promptly after class unless special arrangements are made ahead of time.
If waiting for a ride, students should wait quietly inside the building, not in the parking lot.
I've read the above and agree.
LOST AND FOUND
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TDC will not be held responsible for any lost or stolen items.
I've read the above and agree.
OTHER POLICIES
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* Traditional classroom etiquette is expected. Disruptive students may be removed and barred from a class or the studio.
* Students and families waiting in the lobby, must be respectful of classes in progress. Keep noise to a minimum and do not tap on the observation windows ~ it is extremely distracting to the students in the classroom. We reserve the right to close the blinds in situations where the dancers become distracted by action in the lobby.
* Parents keep younger children supervised at all times.
* Do not rest or put soles of shoes on the wall.
* Please respect the studio & clean up after yourself ~ students, this includes the locker room!!
* No food, gum or open liquid containers in the studios.
* No lotion, powder, talc, rosin or water on the floors.
* Observers are not allowed in the studio at any time.
I've read the above and agree.
IMAGE RELEASE
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I hereby irrevocably consent to TDC's use of my child's name and likeness, including her/his performance, voice and image in any form, whether via still photography, audio and/or video recording, or otherwise ("Media"), that are taken and/or recorded during class time, performances, etc. I authorize TDC to use all such Media on their website, in printed material, and/or all other internet and social media without further consideration.
I agree that TDC shall own all right, title and interest to such Media (including all content and all rights embodied therein) and that it may use, edit, modify, and distribute the Media, without limitation, and without compensation, further permission or notification to me. I hereby waive any inspection or approval of use. I also waive and release TDC, and all its owners, employees, agents, and representatives, from any claims based upon invasion of privacy, right of publicity, defamation, false endorsement, or claim of visual or audio alteration or faulty mechanical reproduction.
RECORDING
TDC respects the privacy of our customers. STILL PHOTOGRAPHY AND VIDEO AND AUDIO RECORDERS ARE RESTRICTED AT ALL TIMES INSIDE THE STUDIO unless approved in writing by the studio (see Heidi Glynias), the teacher and anyone captured.
Your electronic signature is required to confirm your child's registration. It indicates you have read and accepted our Studio Policies as listed above. I understand that submission of this online registration includes my electronic signature and that my electronic signature requires my understanding and acceptance of The Dance Centre by Heidi Glynias LLC ("TDC") studio policies and conditions.
I've read the above and agree.
RECORDING
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TDC respects the privacy of our customers. STILL PHOTOGRAPHY AND VIDEO AND AUDIO RECORDERS ARE RESTRICTED AT ALL TIMES INSIDE THE STUDIO unless approved in writing by the studio (see Heidi Glynias), the teacher and anyone captured.
Your electronic signature is required to confirm your child's registration. It indicates you have read and accepted our Studio Policies as listed above. I understand that submission of this online registration includes my electronic signature and that my electronic signature requires my understanding and acceptance of The Dance Centre by Heidi Glynias LLC ("TDC") studio policies and conditions.
I've read the above and agree.
HOLD HARMLESS AGREEMENT
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I fully acknowledge and understand that dance class participation frequently includes exercise, bodily contact and other associated dangers, which may result in property damage or personal injury to my child. I hereby assume such risks and further covenant not to sue TDC, or any of its owners, employees, agents and/or representatives, for any and all loss or damage, including property damage, personal injury, and disability, arising out of or in any way related to my child's enrollment at TDC. I hereby agree to fully assume the risk and full responsibility of all such injury, loss, damage, and disability due to the negligence of others, including those being released herein, and on behalf of myself, my spouse, my child, and my next of kin. I acknowledge that I have read this liability waiver and that I am waiving any claim as set forth herein for myself, my child, my spouse, and my next of kin, and that I forever release, discharge, and will hold TDC, including its owners, employees, agents, and representatives, harmless from any such claims or actions. I understand that TDC and its agents urges for all students to obtain a physical examination from their physician prior to attending any class.
I've read the above and agree.
EMERGENCY MEDICAL RELEASE
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In the event my child requires medical care for any reason, I hereby authorize and give my consent to TDC, and its owners, employees, agents, and/or representatives, to seek such care on behalf of my child and/or transfer my child to any hospital or medical facility at my sole cost and expense. If possible, TDC will make reasonable attempts to contact me at the phone number(s) listed in my online Parent Portal prior to seeking such care and treatment for my child. I further agree that it is my sole and absolute responsibility to pay for the cost of any such care and treatment and that I will indemnify and hold TDC, including its owners, employees, agents, and/or representatives, harmless from all such costs.
I've read the above and agree.
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