Acknowledgement of Non-condition
Any limitation in ability to participate due to medical condition MUST be noted on THIS FORM. Failure to note such condition is warranty that such condition does not exist.
Emergency Care Agreement
In the event of accident or illness of the student(s) listed on this form, "Contact #1" will be notified immediately. In the event that "Contact #1" cannot be reached, I hereby designate the "Emergency Contact" as the person to be contacted. In the event that neither of us are reachable, I hereby authorize Alta Loma Dance Academy to take any steps necessary to make medical attention available, including but not limited to ambulance, physician, hospital, or any medical services and I further agree that the cost of such medical services shall by borne exclusively by myself.
Release of Liability
In consideration of my participation in Alta Loma Dance Academy training, I hereby release Alta Loma Dance Academy, any Studio Owners, and Studio instructor, assistant, employee, or volunteer from any liability now or in the future including but not limited to muscle strains, pulls or tears, broken bones, shin-splints, foot injury, heart attack, and any other injury or illness occurring during or after participation in the dance program.
Registration
Registration assumes enrollment either for our 12-month program (July-June) with encouraged participation in our Summer Recital or one of our Camps. A non- refundable fee of $30 per student is required yearly at the time of registration. There will be a $10 non-refundable re-start fee for any student that drops and wishes to re-register.
Tuition & Payments
Tuition is due on the 1st of each month. Monthly tuition is based on 4 weeks in a month. There is no additional charge for those months with 5 weeks; however, there is no proration of tuition for months which may contain a holiday closure. Tuition is paid through our automatic electronic funds transfer system from either a credit/debit card (MC, VISA, DISCOVER only) or a checking/savings account. Cash payments are acceptable; however, an authorized payment account must be placed on file. Cash tuition payments must be made prior to the 1st in order to avoid having account on file from being charged. Tuition, registration fees, and costume fees are NON-REFUNDABLE. A $25 late fee will be applied to any account not paid in full by the 5th of each month. A $25 NSF fee will be applied for all declined transactions regardless of reason.
I understand that this authorization will remain in effect until the designated expiration date or until I properly withdraw from Alta Loma Dance Academy, whichever comes first. I agree to notify Alta Loma Dance Academy in writing of any changes in my account information at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute these scheduled transactions with my bank provided the transactions correspond to the terms indicated in this authorization form.
Upon completion of your class registration, tuition for the first month, along with the registration fee of $30 per student will automatically be charged unless otherwise specified.
Refund Policy
Alta Loma Dance Academy's policy on refund is that there are NO REFUNDS. If there is an extreme circumstance such as a broken bone, severe illness etc. a doctor's note given to us immediately will allow your account to be put on HOLD until you can resume lessons.
Costumes
Recital and Performance costume selections will be posted and available for purchase through the Front Desk at specific times throughout the year. Strict timelines will be announced and adhered to for timely ordering of your dancer's costume(s). Once these deadlines have passed, no student will be allowed to join in the corresponding performance/recital. All ordering instructions and deadlines are announced in studio, in your monthly newsletter, on our website, and available at the Front Desk. Pricing for the costumes will be available on all announcements. All
ordered costumes will be delivered to the studio and distributed to parents only!
Attendance/Lateness
Good attendance is necessary to ensure maximum progress and enjoyment of class. Alta Loma Dance Academy reserves the right to have students who come more than 10 minutes late sit and observe class only. A minimum attendance standard will be required.
Required dance attire and dance shoes must be worn to all classes. Required attire is listed in your Studio Handbook.
Make Up Policy
Make-up classes will be allowed for students who have been absent to class. Make-up classes are also granted to those students who would have had class on an observed Studio Holiday, with the exception of Easter/Spring Break, Thanksgiving Break & Christmas Break. All make-ups must be made after the absence and within 30 days of absence or studio closure.
Make- ups cannot be used in place of tuition nor can they be used as drop-ins. Make-ups cannot be used by siblings. Make-ups cannot be made in a class that has full registration. Make-ups cannot be scheduled in a class that is learning performance choreography. Make-ups may be made in any style of dance provided the level/style is appropriate for the dancer. All make-ups must be scheduled through the Front Desk.
Withdrawl
You may withdraw from a class by completing & signing a Drop Form at the Studio Office, in person, by the 15th of the prior month. Any tuition paid for the current month is NON-REFUNDABLE. If you complete a drop form after the 15th of the month you will be charged a $25 late drop fee; however, you will not be charged tuition for the following month. If notified just before or after the 1st of the month, tuition will run through automatically as normal and is NONREFUNDABLE.
You may add a class by submitting a Schedule Change Form to the studio OR enrolling in the desired class within your ALDA Parent Portal. The student will be added into any desired class and monthly tuition will be charged at a prorated amount for the current month if applicable. Note: if a class is FULL or requires prior approval that is not granted, the schedule addition will be denied.
When classes need to be cancelled for circumstances that are beyond the Studio's control such as inclement weather, fire, earthquake, etc., make up classes, if any, are at the discretion of the Studio Director only. No reimbursement of tuition is given when classes are cancelled or missed.
Signature Text
I have read all Alta Loma Dance Academy's policies and procedures and accept and agree with them. Furthermore, I authorize Alta Loma Dance Academy to use any photography or videography of the above mentioned student(s) on this registration form for any marketing and advertising purposes including but not limited to Facebook, Instagram, YouTube, local magazines, and the studio website. I state that I am of lawful age legally competent to sign is affirmation and release, that I understand the terms herein are contractual and not a mere recital and that I have signed this document of my own free act. I am signing the form acknowledging that I have read, received, and agree abide by Alta Loma Dance Academy's policies and procedures. I allow Alta Loma Dance Academy to withdraw any tuition and owed fees (registration, costume, recital, etc.) from the account I have provided.
