Waver Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Liability Waiver, Release & Tuition AgreementDancers Name *FirstLastDOB *Month / Day / YearParent / Guardian *FirstLastPhone *Email *EmergencyPlease provide informationName *Relationship *Phone number *Class SelectionCompetitionRecreationalIf Recreational, list classes:1. Assumption of RiskI understand that participation in dance classes, rehearsals, competitions, and related activities involves inherent risks including but not limited to falls, collisions, muscle strains, sprains, fractures, or other injuries. I voluntarily assume ass risks associated with participation.2. Medical ConsentIn the event of an emergency, I authorize Dynasty Dance Company and its staff to seek medical treatment for the participant if I can not be reached. I understand that I am financially responsible for any medical expenses incurred. 3. Release of LiabilityI hereby release, waive, and hold harmless Dynasty Dance Company, its owners, instructors, staff, and affiliates from any and all liability, claims, or demands arising from participation in studio activities.4. Physical Fitness *Has no medical conditionsHas a medical conditionPlease chooseMedical conditionPlease explain your condition or allergy5. Photo & Video Release *I give permission for Dynasty Dance Company to use photos/videos for marketing purposes6. Code of ConductAll dancers and parents are expected to maintain respectful behavior. The studio reserves the right to dismiss any participant for inappropriate conduct.Tuition & Payment Policy *Tuition is due on the 1st of each month. A $40 late fee will be applied after the 4th of each monthCheck to agree Payment Recreational, 4. Competition Team$160.00 a month (4 hours a week 4 classes)Recreational Classes$45 a month (Per 1 hour class)Multi-Class Discount2+ classes = $40 per class/monthTuition is non-refundable and required to hold enrollment. *AgreeAgree and signI have read and agree to all the terms stated aboveDigital Signature *ClearPlease signSubmit