By signing below, I hereby agree to be financially responsible for payment of this account,
and agree to make all payments by the 15 th of any given in month in which the student above ("Student") attended
dance lessons. The registration and costume deposits are non-refundable. I agree to pay a $20.00 service charge
should the bank return any of my checks, and understand that my account will be charged a $5.00 late fee for any
tuition payment received after the 15 th of the month. Should the Student's account become delinquent for two
months or more, Carmarie's Dance Inc. ("CDS") reserves the right to discontinue the Student's dance lessons
unless and until the Student's account balance had been paid in full, including any applicable late fees.
By clicking below I am aware that when signing up for e-payment I am authorizing Carmarie's Dance Inc. to use the account information for all of my account billing (including registration fee, tuition, costume fees, late fees, recital fees, and any other studio or dance related items purchased on account).
By checking below, I agree to take full responsibility for payment of all charges and understand that a $25 late fee may be applied to my account if my credit card/bank account is declined and cannot be processed for the amount due at that time.
By signing below, I hereby agree on behalf of the Student and his/her personal
representatives to release and discharge CDS and its affiliates, employees, agents, representatives, successors, and
assigns from any and all claims or causes of action, known and unknown, arising out of these dance lessons
including, without limitation, injury or loss resulting from the Student's use of CDS, except for those injuries or
damages resulting from the negligence of CDS. I also agree to indemnify, defend, and hold harmless CDS and its
affiliates, employees, agents, representatives, successors, and assigns from any claim, demand, cause of action,
judgment, loss, liability, damage, expense, or cost (including court costs and attorneys' fees) that CDS or its
affiliates, employees, agents, representatives, successors, and assigns may incur in connection with the dance
lessons attended by the Student and provided by CDS.