Registration

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Welcome To Chasse Enterprises LLC! Please register here, by filling out all fields and signing your waiver for our SuperStar Summer Camp 2024! Spaces are Limited! Camp will start on Monday, June 3rd through Friday, June 21st. Our Summer Camp is designed for your little one to have a fun filled summer experience, while learning cool dance choreography acro/tumblimg techniques and musical theater. Participants will also have a chance to show off their creativity at the end of camp performance recital, that will take place on the last day of camp. The tuition fee for camp per week is $250 and a one time $25 registration fee totaling $275. These fees must be paid during registration.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

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

	Address: *
	City: *	State: * Zip: *

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

Additional Information:

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I/We the undersigned hereby give agree to participation in any and all activities during the current season. I/We do hereby waive, release, absolve, indemnify and agree to hold harmless, Chassé Dance Company, the organizers, sponsors, supervisors, instructor, chaperones, volunteers & participants for any claim(s) arising out of an injury to myself and any medical treatment relating to any injury. By waiving any rights to assert a claim, I am agreeing to release, absolve, indemnify and hold harmless any and all parties previously mentioned for any and all liability arising from any injuries incurred by participating in the selected program. My/Our waiver expressly means that I/We the participant’s, agree to be financially responsible for the cost of medical treatments associated with any injuries.
I/We, the undersigned, agree to the arrangements set forth above and hereby consent to the delivery of routine medical care and first aid to myself, as described above, without the need of any additional consent from me. I/We the undersigned have been informed and agree that while I participate in the programs offered through Chassé Dance Company, first aid will be administered if necessary by the staff until medical care facilities can be reached.
I/We understand that in case of a major medical emergency, every possible attempt will be made to contact the person I have listed, before treatment is administered. However, the Instructor or representative of Chassé Dance Company, consent on my behalf to treatment advised by medical personnel for myself in the event I/We are not responsive.
I/We agree to allow the team instructors to operate the team without interference from me/us.
I/We agree that there will be a Non Refundable registration fee given upon registration.
I/We understand that the Association will accept full payment in the form of CASH, DEBIT or CREDIT CARD ONLY.
I authorize and agree that Chassé Dance Company may take and use photographs, videos or likenesses of myself/my child as needed for its record keeping, advertisement, social media and/or public relations projects and that I have no rights to the same and will not be compensated for the same.
I have read and understand the release waiver of claims statement and fully agree with the provision of this document.
NO REFUNDS!

I've read the above and agree.

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