RELEASE FROM LIABILITY: I do hereby release Victoria All*Star Dance Academy and its staff from any liability occurring on or around studio premises, or at any function held at other locations in connection with the dance classes in which the student name above is enrolled. I declare that the student named above is in good health and can participate in dance education classes. Given the nature of dance classes, and with the knowledge that injuries sometimes might occur, I have taken the necessary steps to obtain accident, health, or hospitalization insurance which would cover any sustained injury. In the event of an injury or emergency when I cannot be contacted, I give my permission for you to obtain medical services for the student named above.

AUTHORIZATION FOR ENROLLMENT: I authorize Victoria All*Star Dance Academy to enroll the student named on this form in dance class, and I accept responsibility for the payment of tuition for those classes for which the student is registered.

1. I understand that classes with an enrollment of less than six pupils are subject to cancellation.

2. I understand that registration fees are non-refundable and that there are no refunds or deductions for classes not attended.

3. I also accept responsibility for payment of the CHRISTMAS Recital Fee unless I give written notice by October 20th that the student will not be participating.

4. I accept responsibility for payment of the END OF SCHOOL YEAR Recital Fee unless I give written notice by January 20th that the student will not be participating.

5. Finally, I understand that if I do not give written notice of the student’s withdrawal from classes by the 20 of the month I am obligated to pay the next month’s tuition payment.