COVID-19 HBP Dance Extreme Screening and Consent Form


I knowingly and willingly consent to have my child participate in programs with HBP Dance Extreme during the global COVID-19 pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not with the current limits in virus testing.

I confirm that my child and members of my household have not in the past 14 days had any of the following symptoms of COVID-19 listed below:

• Fever
• Shortness of breath
• Cough or any flu like symptoms including GI upset, headache, fatigue
• Runny nose
• Sore throat
• Recent loss of taste or smell
I understand that certain travel may increases risk of contracting and transmitting the COVID-19 virus. In addition, the CDC recommends social distancing of at least 6-feet for a period of 14 days to anyone who has traveled to potentially affected areas of COVID-19. Therefore,
I verify that my child, nor anyone in my household, have not traveled outside the United States in the past 14-days to countries that have been affected by COVID-19.
I verify that I, nor anyone in my household, have not traveled outside of California in the past 14 days to any of the following states: New York, New Jersey, Illinois, Connecticut, Massachusetts, Rhode Island, Maryland.

I will hold harmless and indemnify, HBP Dance Extreme, teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions, in exchange for programs with HBP Dance Extreme, during this Covid-19 pandemic.
Please be advised that there may be risks in being in the proximity of other people. We are taking many precautions to limit the spread of disease, yet there is still a possibility of transmission. I make this decision for my child of my own free will relying upon my knowledge and judgment of any injury they may have sustained or possible transmission of COVID-19 during participation in programs and my decision to release has not been affected by any false statements or representations pertaining to those injuries. I understand that this action is my decision. Accordingly, this agreement is not an admission of any liability regarding HBP Dance Extreme , teachers, associates, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors, against any claims, and actions. I have carefully read this release and understand its contents, and I am signing it of my own free act.

PLEASE do not send your child to the studio if they are sick. This Covid-19 screening and consent to participate will be used each day programs are held. Please know that for future classes and programs this written consent form will be in effect, and your consent plus negative Covid-19 screening will be shown by sending your child to the program. If your child or someone in the home has any of the symptoms above, please do NOT send your child to studio.

If you send your child to the studio, you are consenting to this form, and stating your child and any members of the home are negative for all of the Covid-19 symptoms stated above.

TUITION: HBP Monthly Tuition is due by the 1st of the month for every month. All families are required to keep a valid credit card on file that will be charged the 8th of every month. There is a $25 fee for all unsuccessful card payments , unpaid balances after the 8th of the month, and/or returned checks.
ENROLLMENT & CANCELLATION: HBP students are enrolled on a continuous basis and are dropped from their current class only when notified. We require you to notify our Desk Manager if you no longer wish to attend classes at HBP Dance Extreme. Valid methods of notification are printed HBP Drop Form signed and dated or HBP Drop Form submitted online via the huggybearproduction.com website hbpdanceextreme.com . Classes must be dropped by the 25th of the month prior to cancellation in order to not be charged for the upcoming month. After this date no refunds will be issued, and you will still be responsible for the month's payment. In order to transfer from one class into another, notification to our Desk Manager must be given the week before the planned attendance of the new class is to start. Valid methods of notification are printed HBP Transfer Form signed and dated or HBP Transfer Form submitted online via the huggybearproduction.com hbpdanceextreme.com website.

REGISTRATION & SIBLING DISCOUNT: There is an annual $20 registration fee per family. Siblings will receive a discount of 10% off tuition of both dancers.

MAKE-UP CLASSES: If your child will miss a class, please call or email the studio to let us know when they will be gone. Make-ups may only be used with a current tuition and will expire after 30 days of the missed class. No tuition credit will be issued for missed classes. All make-ups will be null and void starting fall every year.

PRICING & HOLIDAYS: Tuition is paid monthly and remains the same during breaks, holidays, and longer months.

VIEWING CLASSES: We have an open studio for family, friends, and siblings to watch classes and support their dancer. However, only dancers enrolled in a class, the class assistants, and their teachers are permitted to be on the dance floor at the time of that class. (NO PHOTOGRAPHY OR VIDEOGRAPHY OF ANY TYPE IS PERMITTED). If you are staying to watch classes, please only sit in the chairs provided and leave the chairs in the same place when you leave. Parents are not permitted to talk to their dancers during class or do the choreography with them on the sides. If you bring your child's friends or siblings, please make sure they are not left unattended, running around, noisy, hanging on the barres, etc. No animals are allowed in HBP's studio (other than service animals). Please do not walk in front of classes to cross the studio.

STUDIO ETIQUETTE: Students will not be permitted to participate in the class if they are more than 15 minutes late or are not current with their fees. Please encourage your child to use the restroom before class. Dancers are expected to show up to class and behave respectfully towards all others.

STUDENT DROP-OFF/PICK-UP: Dancers must remain with their parents before the start of their class and immediately following their class. Parents must drop off/pick up their children inside the studio promptly after the end of their scheduled class time. HBP is not responsible for children left unattended.

DRESS CODE: After your child's first week of trial classes, you must purchase the appropriate attire for each of their classes

LOST AND FOUND: HBP has a lost and found bin. HBP reserves the right to clean out and donate all items in the lost and found bins without any prior notice to parents. Parents and dancers accept full responsibility for any items they may have lost that are not collected before we remove them from the facility.

PAYMENT: All families are required to keep a valid credit card on file that will be charged on the 8th of every month. I understand that by participating in HBP Dance Extreme classes by myself or my student and/or agreeing to the studio policies both aforementioned and below allows consent to HBP Dance Extreme and/or their affiliates to charge provided payment methods for amounts owed with or without prior notice and/or reminders.

JUNE PERFORMANCE: If your child is participating in the Annual June Performance, May & June tuition must be paid in full and your account must be zero for your child to receive their costume. You are responsible for the size of your child's costume. You are also responsible for any costume alterations that need to be made prior to the show. Costumes are non-returnable and non-refundable. After July 1st any costumes that have not been distributed will be donated to charity.

Photo/Video Release Waiver: I acknowledge and consent to allow HBP Dance Extreme to use: photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), our studio's website, or on social media sites (such as the studio's Facebook or Instagram account). I understand that in some cases, my child and/or my name may be used. I further understand no financial compensation will be for use of these photos/videos.

UPDATED INFORMATION: It is the responsibility of each parent to provide and maintain accurate and up-to-date information for their dancer with the HBP Desk Managers. This information includes, but is not limited to: current contact phone number(s) for both parents/guardians, preferred e-mail address(es), emergency contact information, and mailing address(es). The personal information provided on the registration form is only used to contact parents regarding their account information, current events at HBP Dance Extreme, and emergencies.

By clicking "II've read the above and agree.", I acknowledge that I understand dancing can be a hazardous pursuit and that I will hold neither HBP DANCE EXTREME nor their affiliates responsible for any injuries resulting from my or my child's participation in dance activity. I understand that all dance students should be covered by their own insurance policies and, if injury occurs, I understand that my or my child's own policy is the only source of reimbursement. I hereby acknowledge that I am choosing to participate and/or allow my child to participate at our own risk. I further acknowledge that HBP DANCE EXTREME classes are conducted in an historic building which may not comply with modern Codes. HBP DANCE EXTREME reserves the right to update and change policies at any time without prior notice. I HAVE READ, I UNDERSTAND, & I AGREE TO ALL OF THE REGISTRATION INFORMATION AND POLICIES OUTLINED ABOVE.

By purchasing any tuition plan I agree to all HBP policies and I acknowledge that I understand dancing can be a hazardous pursuit and that I will hold neither HBP DANCE EXTREME nor their affiliates responsible for any injuries resulting from my or my dancers participation in dance activity. I understand that all dance students should be covered by their own insurance policies and, if injury occurs, I understand that my or my child's own policy is the only source of reimbursement. I hereby acknowledge that I am choosing to participate and/or allow my child to participate at our own risk.

JUNE PERFORMANCE: If your child is participating in the Annual June Performance, May & June tuition must be paid in full and your account must be zero for your child to receive their costume. You are responsible for the size of your child's costume. If a size isn't available, the next size up will be distributed. If a costume is not available a different style may be ordered without notice. You are also responsible for any costume alterations that need to be made prior to the show. Costumes are non-returnable and non-refundable. After July 1st any costumes that have not been distributed will be donated to charity.

Photo/Video Release Waiver: I acknowledge and consent to allow HBP Dance Extreme to use: photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), our studio's website, or on social media sites (such as the studio's facebook or instagram account). I understand that in some cases, my child and/or my name may be used. I further understand no financial compensation will be for use of these photos/videos.

Note: Tickets will be available for pick-up in studio starting 5/22 or at will-call the nights of the shows. Tickets will not be shipped to you.

There will be no returns, refunds, or exchanges for Show Costumes, tickets, tuition , fee payments, or any other sales. All sales are final.

JUNE PERFORMANCE: If your child is participating in the Annual June Performance, May & June tuition must be paid in full and your account must be zero for your child to receive their costume. You are responsible for the size of your child's costume. If a size isn't available, the next size up will be distributed. If a costume is not available a different style may be ordered without notice. You are also responsible for any costume alterations that need to be made prior to the show. Costumes are non-returnable and non-refundable. After July 1st any costumes that have not been distributed will be donated to charity.

I understand and accept that HBP Monthly Tuition is due by the 1st of the month for every month. I understand it is the sole responsibility of the account holder to preview and check with HBP Dance Extreme either in studio or via online portal that the amount being charged is correct before the 8th of the month of scheduled charges. I also understand that all families are required to keep a valid credit card on file. I accept that the card on file will be charged on the 8th of every month by HBP Dance Extreme and/or their affiliates for total debts including tuition and/or other debts credited to my account. I understand there is a $25 fee for all unsuccessful card payments , unpaid balances after the 8th of the month, and/or returned checks.