Registration Form 2018-2019
Aldemaro Romero School of Music and Arts Registration Form
Email address *
Student's Name and Last Name *
Your answer
Date of Birth *
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Age *
Your answer
Address *
Your answer
Phone number *
Your answer
Cell number *
Your answer
Mother's Name and Last Name *
Your answer
Father's Name and Last Name *
Your answer
Emergency Contact *
Your answer
Classes interested in *
Required
Music Experience *
Your answer
GENERAL RELEASE-WAIVEROF CLAIM AND ASSUMPTION OF RISK AGREEMENT: I, as a parent/guardian of the student being registered, HEREBY voluntarily assume any and all risks, including property and injuries sustained or illness contracted by me or my child which may be caused as a result of my or my child’s participation or attempt to participate, in any and all music or art classes and/or music performances at VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA, ALDEMARO ROMERO SCHOOL, its agents, employees or otherwise. IN CONSIDERATION of VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA, ALDEMARO ROMERO SCHOOL, permitting me or a family member to participate in music or art classes/performances and in any other related activity. I, hereby, voluntarily release, waive and discharge VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET/ ALDEMARO ROMERO SCHOOL, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA, ALDEMARO ROMERO SCHOOL their lessors, successors and/or by reason of my or my child’s participation in said music or art classes and programs, may deem to cause. I acknowledge that I have read the foregoing, understand the terms contained here in, and this General Release, Waiver of Claim and Assumption of Risk Agreement has been executed voluntarily. *
Required
Withdrawal Policy: I understand that I must notify the school’s registration department IN WRITING if I wish to withdraw my child from the school. I understand that I must do so 7 (seven) days before the next month begins to avoid further tuition charges and that I am financially responsible for each month's tuition if I do not notify the school of any changes. I understand that the school is honoring my child’s spot in the class until told otherwise, in writing. *
Required
Permission of Participation: I permit my child, to participate in the VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, ALDEMARO ROMERO SCHOOL, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA. I recognize that some risk of bodily injury is possible in the normal participation in dance/music/art. I agree to obey all rules and follow all safety procedures involved with the program. I certify to the best of my knowledge that my child’s current medical condition is satisfactory for participation in the VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, ALDEMARO ROMERO SCHOOL, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF FLORIDA and that my child is free of any health problems that could endanger his or her participation. I will inform the instructors should my child’s medical condition changes at any time during participation in the program. *
Required
Release for Pictures and Videotaping: I agree that you may PHOTOGRAPH OR VIDEOTAPE me or my child while participating in VLADIMIR ISSAEV SCHOOL OF CLASSICAL BALLET, ALDEMARO ROMERO SCHOOL, AVENTURA DANCE ACADEMY, ARTS BALLET THEATRE OF sponsored events and activities. You may use, and license others to use, my or my child’s name, voice, and likeness, (including any biographical information which may have been provided to you and retain a perpetual, non-exclusive right to use these visual and audio images and recordings in any manner you wish, including but not limited to use on web pages, television, radio, or print media advertisements and promotions, without compensation to me or my child *
Required
I understand that my credit card information will be needed and archived to complete my child's registration and reserve his/her spot in the class. *
Required
I understand that all fees are non-refundable under any circumstances, and that tuitions cannot be prorated. *
Required
I understand that I have a period of 5 (five) days to complete the registration in person and that I must pay for the registration and the first month tuition, otherwise my registration will be voided.
I understand that my credit card information will be saved into the school's files and that my credit card will be charged automatically should tuition is late. *
Required
I understand that there are NO MAKE UP classes under any circumstances. *
Required
I understand that tuition is due the 1st of very month and that is considered late on the 5th, and that a $20 late fee will be added to my account for every week that my payment is late. *
Required
I understand that all notifications must be done in writing to avoid misunderstandings with the schedules, classes and policies of the school. *
Required
I understand that this is a private school and that my child might loose his/her spot in the school if I do not abide with the policies of the school. *
Required
I understand that my child might be invited to participate in extra rehearsals, performances and other activities related to the school, and that additional payments will be required for this events. These payments might included but are not limited to recital tickets, uniforms, master classes, to name a few. *
Required
I am the person responsible for filling out this form, registering my child, and making all payments required. (please sign your name and last name). *
Your answer
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