Mary Lee's School of Dance
Policy and Release Form 2017-2018
Note any pre-existing medical conditions need to be put on file at the dance school.
As parent or guardian, or as an adult 18 years and older, I understand that dance, tumbling and cheer are vigorous physical sports that involve height, motion and speed of motion. I understand that participation in these activities can incur the possibilities of physical injury.
In consideration of Mary Lee's School of Dance allowing the above paid student to participate in its' program. I hear by release Mary Lee's School of Dance, its' owners, employees, volunteers, teachers, coaches, and spotters from all liability for any and all damages and injuries at any time suffered by me or my child arising out of dance activity.
I certify that I/my child is in good health and able to participate safely in this activity. Signing this acknowledges that it was read and understood.
I accept that I/my child will be put in an appropriate level class based on his/her ability, performance and progress as deemed by his/her instructor or director and my child's class placement may be moved based on said above.
I comply that tuition fees will be paid in full by the first of each month: Sept., Oct., Nov., Dec. 2017 and Jan., Feb., Mar., April, May, 2018. Failure of said payments by the first of each month will result in a $15.00 late fee per class. I also realize that I am registering my child/me to the program and am responsible for all fees.
If not on automatic withdrawal I will pay an up charge of $2.50 a month.
I agree to bring myself/my child to class on time in designated attire in accordance with Mary Lee's School of Dance. Fifteen minutes late may result in my child sitting out do to improper warm-up.
I agree to allow myself/my child to be photographed or videotaped at annual parent observation week and/or annual recital and release the tapes to be sold to parents and/or students of Mary Lee's School of Dance. I release permission to use my/their pictures in advertising for Mary Lee's School of Dance and/or Mary Lee's School of Dance website.