This signed form is required to be completed before a dancer can begin taking classes.
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Parent/Guardian Name
Dancer Name
Phone Number
COVID-19 Release Waiver
Covid-19 Release Waiver (please type full name below) *I release Dance Vision, it’s instructors, independent contractors, and all other associates from liability for harm, theft, or injury that may be suffered by me and/or members of my family traveling to or from or during participation in activities and programs sponsored by Dance Vision.  I hereby acknowledge that I am voluntarily assuming full responsibility for all risks of physical injury arising out of active participation in a dance class or other dance related activities. I acknowledge the contagious nature of COVID-19 and other contagious diseases and viruses and voluntary assume the risk that I and/or my children may be exposed to or infected by COVID-19 by attending and participating 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 and other contagious diseases and viruses may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, independent contractors, volunteers, and program participants and their families.  I release Dance Vision, its instructors, independent contractors and all associates from liability for harm, injury or death pertaining to COVID-19 and other contagious diseases and viruses.  I understand that there are NO refunds for registration fees, costume, recital fees or classes.  I understand and agree to Dance Vision's policies and procedures.  I understand that my student must have this release form signed before attending class.  I give permission to Dance Vision to use pictures and or video of my child for advertising purposes in print, promotional videos and on the website.  Tuition is to be paid by the 25th of the month, for the following month, or a $35 late fee will be added.  If a payment is not received in a period of 4 months then the account may be handed over to a collection agency. I understand that I will be charged a convenience fee for all my credit card/debit card transactions at Dance Vision. This fee will apply each time I use my credit or debit card. I understand and have read all the studio and policy information.
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