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Living Arts Dance Foundation, is providing scholarships for youth ages: 10 - 17 to participate in our formal dance program running February - June 2024. This is discounted grant program is for low income Philadelphia youngsters ages: 10 & up based on family income, dancers will be awarded scholarships or discount tuition at a rate of $45 per month. Classes will be held at Living Arts Dance, Inc. 624 N. Front Street, Philadelphia, PA 19123 on Thursday's from 4:45 pm - 8 Pm in the following: Ballet- Jazz, Acrobatics, Hip-hop & African.

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	Grade Level:*
	Disabilities :
	Allergies :
	Medications (Leave blank if NONE):
	Use of photo allowed?:*
	Student May Be Released To?:*
	Public Transportation Allowed?:*
	Permission to give Medication:*
	Student sign themself In/Out?:*

Add New Student #2:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	Grade Level:*
	Disabilities :
	Allergies :
	Medications (Leave blank if NONE):
	Use of photo allowed?:*
	Student May Be Released To?:*
	Public Transportation Allowed?:*
	Permission to give Medication:*
	Student sign themself In/Out?:*

Add New Student #3:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	Grade Level:*
	Disabilities :
	Allergies :
	Medications (Leave blank if NONE):
	Use of photo allowed?:*
	Student May Be Released To?:*
	Public Transportation Allowed?:*
	Permission to give Medication:*
	Student sign themself In/Out?:*

Add New Student #4:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	Grade Level:*
	Disabilities :
	Allergies :
	Medications (Leave blank if NONE):
	Use of photo allowed?:*
	Student May Be Released To?:*
	Public Transportation Allowed?:*
	Permission to give Medication:*
	Student sign themself In/Out?:*

Add New Student #5:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	Grade Level:*
	Disabilities :
	Allergies :
	Medications (Leave blank if NONE):
	Use of photo allowed?:*
	Student May Be Released To?:*
	Public Transportation Allowed?:*
	Permission to give Medication:*
	Student sign themself In/Out?:*

Questions/Options:


New or returning students only, must not be attending any current Living Arts Dance programs or classes. This scholarship can not be combined with any other programs or grants at Living Arts.*
REQUIREMENT TO ATTEND: I understand I must email a copy of my states benefits to info@livingartsdance.com provide my proof of income before my child can participate in this program.*
REQUIREMENT TO ATTEND: I am a low income family. I can provide my PA state benefits statement as proof of low income.*
REQUIREMENT TO ATTEND: I am a Philadelphia resident.*
REQUIREMENT TO ATTEND: My child has turn 10 years old by August 1, 2023.*
Student Name:*
Student Date of Birth:*
Student Age:*
Student Clothing & Shoe Size: *

Additional Information:

Tuition

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$45.00 per month. - Discount Tuition Scholarship includes: uniform, shoes and recital costumes.

I've read the above and agree.

Proof of Income

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Eligibility Documents to be submitted: PA State Benefits Statement, must list student and parent on documents.

I've read the above and agree.

Alternating Locations

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Classes Run February - June 2024 and ends will a recital.
I understand that my child will attend this program at both locations.

I've read the above and agree.

Thursday Dance Classes

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Thursday's 4:45 pm - 8 pm. Ballet & Jazz, Acrobatics, Hip-hop & African: Living Arts Dance, Inc. 624 N. Front Street, 2nd & 3rd Floor, Philadelphia PA 19123.

I've read the above and agree.

Absences

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3 unexcused abscesses are permitted per semester, students with poor attendance will be removed from the program or unable to perform in concerts or recital.

I've read the above and agree.

Uniform

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2 uniforms will be provided, 1 to be worn at Living Arts Dance and 1 to be worn at Rebel Arts Movement. We are not responsible for lost or damaged uniforms or tights. Uniform replacements are at parents expense.

I've read the above and agree.

Liability Waiver

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Living Arts Dance Inc.
624 N. Front Street, 2nd & 3rd Floor, Philadelphia, PA 19123
Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Agreeing)
In consideration of being permitted to participate in any way in the Living Arts Dance Inc. indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:
1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below Living Arts Dance Inc. classes, activities or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agreed that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
2. I/WE fully understand and acknowledge that:
(a) There are risks and dangers associated with participation in Living Arts Dance Inc. classes, events and activities which could result in bodily injury partial and/or total disability, paralysis and death.
(b) The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.
(c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the Releasees named below.
(d) There may be other risks not known to us or are not reasonably foreseeable at this time.
3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.
4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Living Arts Dance Inc. facility used by the participant , including its owners, managers, promoters, lessees of premises used to conduct the Living Arts Dance Inc. classes, events or program, premises and event inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the Living Arts Dance Inc. facility or events held at such facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as "Releasee"...FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

I've read the above and agree.

Behavior

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Behavior: Students are held to a high standard of excellence and expected to be role models at inside and outside of LivingArtsDance, Inc. Loud disruptive class behavior, not participating in a class, disrespecting an instructor or student, sitting down in a class without permission, walking out of a class without permission, charging cell phones, using cell phones during any class, making posting inappropriate videos, cyber bullying or any poor representation of the students character or LivingrtsDance, Inc. policies is unacceptable.
-Students with unacceptable behavior will be given 3 chances for improvement: a verbal warning to the student, a written warning to the student and the parent, a one probation from all classes and finally removal from the summer camp program.
___Any physical act of violence against another student, staff or themselves are grounds for immediate removal from Living Arts Dance, Inc. camp and all other Living Arts Dance programs.

I've read the above and agree.

Studio Policies

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Enrollment -Enrollment is open to any and shall be granted without discrimination in regard to sex, race, color, religion, or political belief. However, Director and/or Owner reserves the right to send a student home or ask a patron to leave the property due to illness, disruptive behavior, risk of contagiousness, and in regards to the safety of others. There is a two class minimum for all classes.
Attendance- A parent, student, or patron must notify the Studios within 2 hours of lesson/session start time to be absent from a lesson. Missed days of dance can not be made up. Director should be notified if a child is ill. If there is inclement weather please call, a message will inform you if we are closed, there are no refunds for closures due to inclement weather. Students may not attend class if payments are past due or if not in proper uniform. Students who miss a month of classes must register again for classes.
Parent, siblings, friends, or spectator's access -Parents may be asked not watch lessons/rehearsal at anytime if their presence is disruptive. In cases where Family court or other legal entities have been established visitation or custody rights, a copy of the orders must be provided to Living Arts Dance, Inc. The orders of the court will be strictly followed unless the custodial parent/guardian requests a more liberal variation of the court order in writing. Visitors are allowed in the studio areas only at the discretion of the director. A staff member will accompany visitors at all times.
Arrival & Departure - Upon arrival and departure each parent, student, or patron must sign in and out on the appropriate sheet(s) in the foyer. Children are to be escorted to their designated area and dropped off with a supervisor at all times. Students may not be dismissed on their own without written parent consent. Parental involvement in helping your child get settled with a staff member will help your child adjust quickly to the routine. Older students must not be responsible for younger siblings, only parents or guardians. Living Arts Dance Inc. is not responsible for students who linger before/after designated classes students will be asked to wait in the lobby area. Parent who pick up late will be charged a late fee.
Accidents & Injury - Should a student become injured at school, the parent will be notified via an incident report form. The parent will be asked to sign this form indicating that he/she has been notified, and a copy of the form will be included in the student's school record. In the event of an injury, if the injury is of a serious nature, a parent will receive a phone call from the school at the time the accident occurs.
Smoking - It is our desire that the environment around the studios be as safe and as healthy as possible. Living Arts Dance Inc. building and grounds are smoke-free. Parents, staff, and visitors are asked to comply with this request.
Fire Arms & Weapons - Living Arts Dance Inc. grounds and building are to remain weapons-free, unauthorized possession of dangerous or illegal firearms, weapons or explosives on the property is forbidden.
Discipline - It is the policy of Living Arts Dance Inc. to keep disciplinary issues minimized and help students monitor their own behavior. Staff of the studios present age-appropriate behavioral guidelines and use reflective communication to encourage children to express their emotions. The staff encourages self-control, self-direction, responsibility, and cooperation.

I've read the above and agree.

Teacher Etiquette & Discipline

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Please understand the nature of dance instruction involves kinetic corrections that may include physically touching a student as part of regular class work and rehearsals. Such corrections are often "hands on", manually adjusting a student's body in order to correct alignment, demonstrate technique, holding a hand to younger redirect students, etc. is standard practice in all dance forms. For discipline or behavior corrections, classes may participate in exercises such as: sit-ups, push-ups, leg lifts, time-out or for extreme distractions or behavioral problems students maybe removed from classes.

I've read the above and agree.

Communication

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We use the REMIND APP for easy quick studio communication. This app allows the studio to send you details and information directly to your cell phone and or email address. Parents may respond to the app in a private text message which is only read by studio staff and the studio director. Once registered parents and students will be automatically added to the remind app by our staff. Please provide any additional contact or parents who you would like to be added to the remind app in the comment section below. Please let us know if you would like to be removed from the app at any time.

I've read the above and agree.

Photo Release

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I hereby consent that all photographs and/or video footage of myself which may be used by Living Arts Dance, Inc. for the purposes of illustration, advertising, social media or publication in any manner.

I've read the above and agree.

Youth Etiquette

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____All students must be in proper Living Arts Dance uniform dance attire to participate & proper shoes to participate in class:
Daily Dance Attire: LAD Leotard, LAD Short Unitard, & Tan Tights
*No under clothes underwear are to be worn dance wear.
____STUDENTS NOT IN UNIFORM WITH SHOES WILL NOT TAKE CLASSES OR PARTICIPATE IN DANCE CLASSES.
____Please replace tights after they have large rips, holes or tears.

I've read the above and agree.

Hair

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Hair must be worn back off the face, long braids must put up into a bun, not hanging on the shoulders during class. No scarfs, head wraps or bandannas are alllowed to be worn during class. We expect our teens to know this policy, instructors should not have to remind this every class. PLEASE limit the ballies, beads and barrettes or use a hairnet to keep back during dance classes.

I've read the above and agree.

Nut Free Studios

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Due to the severe nut allergies suffered by our students we are now a peanut/nut free studio. Please do not bring any nut products into the studio for snacks.

I've read the above and agree.

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