2020-2021 (CM 4/5 Preschool) REGISTRATION FORM
Studio classes are limited in size due to the state mandates, so we will fill these on a first come first served basis. We will be following the state mandated safety protocols for all our in studio classes. Allegro reserves the right to cancel classes if there are changes to the pandemic or the state-mandated regulations.

Please note the $35.00 registration fee is nonrefundable.

PRICING
One class - $65.00/Month
Two classes - $110.00/Month
Three classes - $160.00/Month
Four classes - $205.00/Month
Five classes - $245.00/Month One Dancer Max
Six classes - $275.00/Month
Seven classes - $305.00/Month
Eight classes - $335.00/Month

One Dancer Max $245.00/Month One Dancer Max
Two Dancer Max $365.00/ Month Two Dancer Max
Three Dancer Max $395.00/ Month Three Dancer Max

Musical Theatre - $5/Month-added to total tuition (Materials Fee)
Aerial - $65/Month-added to total tuition (Equipment Fee & Limited Class Size)

Please select the classes you wish to take. Just one form per student. If you have more than one dancer to register, the form will allow you to start an additional form once this one is complete.
Email address *
Dancer's Last Name *
Dancer's First Name *
Birthday *
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Age *
Grade (School Year 20-21) *
Address *
City *
Zip *
1 - Last Name Mother/Parent/Caregiver *
1 - First Name Mother/Parent/Caregiver *
1 - Phone Number - Mother/Parent/Caregiver *
2 - Last Name Father/Parent/Caregiver
2 - First Name Father/Parent/Caregiver
2 - Phone Number - Father/Parent/Caregiver
Emergency Contact Name (not living with you) *
Phone Number - Emergency Contact *
Medical Conditions or Special Needs with Instructions:
MULTIPLE DANCER FAMILY DISCOUNT - Check if you qualify for the multiple dancer family discount. I agree my monthly payments must be from one account in one household to qualify.
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (Electronic Funds Transfer) - REGISTRATION FEE OF $35 - Check if you understand and accept the following: Allegro Dance Studio has permission to deduct my one-time registration fee of $35 from my current account on file. Deduction will begin once this form is received. (If you do not have an account on file please submit an EFT form.)
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (Electronic Funds Transfer) - MONTHLY TUITION - Check if you understand and accept the following: Allegro Dance Studio has permission to deduct my monthly tuition from my current account on file. Deduction will begin on the 1st of September, 2020 and continue each month on the 1st through June, 2021. I understand that a $20.00 NSF will be charged if adequate funds are not available. If this happens, you will be contacted by email. Allegro Dance Studio will not make a second attempt via EFT to collect funds. Account must be made current by paying with check or cash and will include the $20.00 Fee. I understand that I must contact Allegro Dance Studio if I need to change accounts or if I would like to discontinue with “EFT”. This must be done in writing before the 1st of the month for any changes to go into effect that calendar month. (If you do not have an account on file please submit an EFT form.)
CREATIVE MOVEMENT 4/5 YEAR OLDS PRESCHOOL CLASSES
Please mark the day and time below you would like to attend class.
AGREEMENT CONCERNING USE OF PREMISES AND RELEASE AND WAIVER OF LIABILITY
For the opportunity to participate in ALLEGRO instruction, classes, rehearsals, recitals, and all other activities instructed by ALLEGRO, its organizers, teachers and other persons assigned to assist teachers, referred to as the "Program,". Users agree that: STUDIO WAITING POLICY: ALLEGRO does not have a large waiting area available or a dressing room. Consequently, Users agree as follows:Participants are to be dropped off and picked up on time. Participants must wait inside the building to be picked up. ALLEGRO shall not be responsible for Users before, between or after class. Participants shall not be left unattended during non-instruction times. Consequently, parents shall remain on the ALLEGRO premises until class begins and shall promptly pick up the Participant at the close of the ALLEGRO class. There are no supervisors during non-class hours. Consequently, ALLEGRO and its agents/instructors are not responsible for the care of Participants prior, between and after instruction. No Participant may enter a dance room without a supervising instructor present. RELEASE AND WAIVER OF LIABILITY: 1. User understands in consideration of registration or participation in ALLEGRO programs, classes and sponsored events, the above named User acknowledges and accepts the risks and inherent hazards of participation in the Program, classes,rehearsals, recitals, or other sponsored activities and events sponsored or conducted by ALLEGRO or other persons assigned by ALLEGRO to teach, direct or assist in these sessions and events. The User hereby elects to voluntarily participate in such Program or sponsored events and hereby voluntarily assumes all risks of loss, injury and damage, including personal injury that may be sustained as a result of participation in said Program or sponsored events. 2. User understands and acknowledges that its participation in the Program may be dangerous as the Program includes climbing aerial equipment, hanging from aerial equipment, physical exercises and stretches and other physical movement.These activities may involve serious risks of bodily injury, property damage, or both. User also understands and acknowledges that the losses or damages which can result from these risks can be severe and that not all risks may be known or reasonably foreseeable. User accepts the responsibility for losses or damages resulting from all risks involved in participation in the Program.Injuries such as fabric or rope burns, pulled muscles, collisions with other participants and falls that could result in broken bones or other serious bodily injury are possible when participating. 3. User agrees to take appropriate precautions for its own safety and that of others when participating in the Program and further agree that, before participating User will inspect the facilities and equipment to be used and will, if User believes anything is unsafe, immediately advise the person in charge of that unsafe condition and will refuse to participate. 4. User further agrees to grant ALLEGRO, its owners, instructors, employees and agents the right to photograph or video User during Users participation in the Program. User understands that any photographs or recordings may be used by ALLEGRO for marketing and promotional purposes, at their sole judgment and discretion, without compensation or credit to User. 5. In consideration of ALLEGRO allowing participation in the Program, ALLEGRO hereby agrees on behalf of itself and Participant, to indemnify ALLEGRO, its owners, instructors, employees and agents from any claim or demand on account of injury or damage which Participant/User may suffer as a result of participation in the Program whether on ALLEGRO premises or elsewhere and whether caused by the negligence of ALLEGRO, its owners, instructors, employees and agents. 6. On behalf of Users, we hereby release, waive and discharge ALLEGRO, its owners, instructors, employees and agents from all liability to Participant/User or any and all claims, demands, losses or damages on account of any injury, including,but not limited to, bodily injury, death, loss of income or damage to property arising out of a child’s participation in the Program. 7.This Agreement includes but is not limited to, claims or demands on account of injury or damage caused or allegedly caused by the negligence of ALLEGRO, its owners, instructors, employees or agents. *
Parent/Guardian - Please type your Name as Signature *
ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. ALLEGRO DANCE STUDIO, LLC, is a tenant of ALLEGRO PROPERTIES, LLC. ALLEGRO PROPERTIES, LLC, and ALLEGRO DANCE STUDIO, LLC, are collectively referred to as “ALLEGRO”, has put in place preventative measures to reduce the spread of COVID-19; however, ALLEGRO cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending ALLEGRO could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending ALLEGRO and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at ALLEGRO may result from the actions, omissions, or negligence of myself and others, including, but not limited to, ALLEGRO, its organizers, teachers and other persons assigned to assist teachers, volunteers, and program participants and their families, referred to as the "Program,". I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to,personal injury, disability, and death), illness, damage, loss, claim, liability, or expense,of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at ALLEGRO or participation in Studio programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless ALLEGRO, the Program, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating there to. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the ALLEGRO, the Program, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any ALLEGRO program. “A person or entity acting in good faith shall not be subject to civil damages resulting from acts or omissions that complied with an executive order or regulation or were in accordance with guidance regarding COVID19, unless the damages result from the person or entity’s gross negligence or from the person or entity’s reckless, wanton or intentional misconduct. This section applies to all causes of action that accrue during the complete duration of the COVID-19 emergency declaration, EO 20-03 issued March 9, 2020. *
Parent/Guardian - Please type your Name as Signature *
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