Clermont Academy of Dance Registration

Step 1: Complete Studio Policies Agreement
Step 2: Confirm Studio Policies Agreement
(You will need to print a copy for your records.)
Step 3: Complete Student Registration (This is where you will add your dancers, select classes, and enter payment information.)

Registration is not complete until all forms are completed and the Registration Fee and 1st month's tuition have been paid. All registration fee's and tuition are non-refundable.

Step 1: Complete Studio Policies Agreement

Account (Mother) Last Name:

Account (Mother) First Name:

Home Phone #:

Email Address:

Student 1 Name (First and Last):

Student 2 Name (First and Last):

Student 3 Name (First and Last):

Student 4 Name (First and Last):

Registration Fee: A yearly non-refundable registration fee is due at the time of registration. The registration fee is for the purpose of securing your student(s) place in class and membership set up. ***Registration fee includes (1) per FAMILY recital DVD after the 2018 recital.

I understand and authorize Clermont Academy of Dance to automatically charge my registration fee ($40 for the 1st student, $25 for the second, and $75 for families of 3 or more) in the amount of . (Initial)

Monthly Tuition: Tuition is calculated on a yearly, NOT monthly basis. It is the parent's responsibility to contact the front desk if debit/credit card information changes. Cash/checks will not be accepted for installment payments. Families with 2 or more students enrolled in dance class will receive a $5 discount off the monthly tuition fee for each additional student enrolled in dance class after the first.

I understand and authorize Clermont Academy of Dance to automatically charge my total monthly tuition installment on the 14th of every month starting in August, and the final installment on May 14th through a debit/credit card. I understand that Clermont Academy of Dance will notify me only ONCE via email if funds cannot be obtained. If payment cannot be received within 30 days, lessons will be suspended. Tuition is NOT waived if a student is absent. Should a student suffer a serious extended injury or illness for 30 or more days, tuition will be waived for missed time with a Doctor's note. There will be an automatic $10 Late fee for all tuition payments not received by the 21st of every month. (Initial) View Tuition Schedule

Studio Policies: I acknowledge that I have read and understand the Studio Policies and agree to abide by them. (Initial) View Studio Policies

Attire: I agree that my student will be dressed in proper attire, including hair, in order to participate in class. (Initial) View Required Attire

Costumes: All students will be required to purchase 1 costume for each class enrolled in with the exception of Acro, mommy & me, Leaps & Turns class (for ISP) and Strength & Stretch class (for ISP). Students will be measured in November for the costumes they wear in our annual recital. Students who miss the costume measurement date will need to schedule an appointment to get measured. Any student who chooses not to participate in the recital will need to notify the front desk prior to October 1. The total amount for recital costume fees will be paid in two installments on October 1 and December 1.

I understand and authorize Clermont Academy of Dance to charge my credit/debit card on file the 50% recital costume fee on October 1, and the remaining balance on December 1. (Initial)

I understand that costume fee's are NON REFUNDABLE after December 1. I understand that a $10 fee per costume will be accessed for students who fail to pay balance by December 1. (Initial) View Costume Prices

Choreography: All dances (including groups, solos, duets and trios) are choreographed by Clermont Academy of Dance and its instructors and are property of this studio. They are not to be performed without expressed written consent from the studio owner/director. Duplication of choreography notes is also prohibited. Students may perform routines for school functions with prior written permission from the owner/director. (Initial)

Photo Release: I understand and agree that Clermont Academy of Dance may use and reuse, in any manner, photographs of me and/or my minor child/children, in whole or in part, modified or altered, either by themselves or in conjunction with other photographs, in any medium or for distribution, and for any purpose whatsoever, including but not limited to all promotional or advertising purposes, and other trade purposed. I waive the right to inspect or approve any use thereof, and waive any right to notice prior to publication. Further, I hereby forever release and discharge Clermont Academy of Dance from any and all claims, actions, and demands arising out of or in connection with the use of said photographs, including, without limitation, any and all claims for invasion of privacy and libel. The release shall inure to the benefit of the assignees, licensees, and legal representatives of Clermont Academy of Dance, as well as the party/parties taking said photographs. Dancers not wishing to have their photos taken must submit a letter in writing indicating revocation of consent at the time of registration. All pictures chosen for use are based on good dance technique and proper attire. All pictures are family friendly and positive. (Initial)

Release:

Acknowledgment of Risk: I and/or my child/ward acknowledge and understand that dancing and dancing-related activities involve some risks which include, but are not limited to: sprained or broken bones or joints, sprained or torn muscles, contusions, injuries resulting from slipping and falling, injuries resulting from fatigue or dizziness, and injuries resulting from contact with other participants or instructors.

Assumption of Risk: I and/or my child/ward agree to assume responsibility for all the risks of dancing and dancing-related activities, whether identified above or not. My/our participation in dancing and dancing-related activities is purely voluntary. I assume full responsibility and all risk for myself, and my minor children/wards for whom I am responsible, for any bodily injury, illness, paralysis, death, loss or theft of personal property, and expenses thereof, as a result of my or my child's/ward's participation in any dance or dance-related activity, whether or not such accident or injury is caused by the negligence or error of the principals, directors, officers, agents, employees or volunteers of Clermont Academy of Dance.

I and/or my child/ward hereby expressly agree to hold Clermont Academy of Dance and its principals, directors, officers, agents, employees and volunteers, their insurers and each and every land owner upon whose property an activity is conducted and their insurers (collectively, the "Releasees") harmless from any and all claims or causes of action arising out of my and/or my child's/ward's participation in dancing or dancing-related activities. I expressly release and discharge Releasees from any and all liability, claim, demand or cause of action whatsoever arising out of any damage, loss, personal injury, or death to me and/or my child/ward as a result of my/our participation in dancing or dancing-related activities, regardless of cause, including but not limited to loss, injury or death caused by a slip and fall accident, or loss, injury or death caused by the negligence, default or error by the Releasees. I further expressly agree that this release is binding on my and/or my child's/ward's personal representatives, successors, heirs and assigns, and that if I or any one of them attempt to bring any claim against the Releasees I or they will be responsible for all defense costs (including but not limited to attorneys and paralegal fees) incurred by the Releasees.

Arbitration: I and/or my child/ward agree that any controversy or claim for which a federal or state court or other dispute resolution body otherwise would be authorized to grant relief arising out of or relating to this Agreement, to the making, performance or interpretation thereof, including but not limited to my child's/ward's participation in dancing or dancing-related activity, shall be settled by binding arbitration in Clermont, Florida, in accordance with the rules of the American Arbitration Association. All arbitrations covered by this Agreement shall be adjudicated in accordance with the state or federal law that would be applied by a United States District Court sitting in the Central District of Florida. I further expressly agree that this agreement to arbitrate is binding on my and/or my child's/ward's personal representatives, successors, heirs and assigns.

Acknowledgement of Reading: I acknowledge that I have carefully read this waiver and release, and understand that it is a release of all liability and a waiver of a right that I may have on behalf of myself and/or my child/ward to bring legal action or assert a claim for injury or loss of any kind against the Releasees. I further acknowledge that I have been given the opportunity to ask questions about the effect of this Agreement, and that I agree to all the terms contained herein. (Initial)

By clicking on submit, I agree to the terms and conditions above. Click "submit" to confirm registration information and proceed to Step 2: Confirmation.


Clermont Academy of Dance
634 Eighth Street
Clermont, FL 34711
352.394.3509

Office hours:
Mon-Fri 3:30pm-6:00pm
Sat 10am-12pm