Mobile Bay Dance Academy Registration 2017-2018
Which classes are you signing up for?
Child's Name First/Last
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Child's Age
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Mother's Name
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Email Address
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Mother's Phone Number
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Father's Name
Your answer
Father's Phone Number
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Home Address/City/Zip Code
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Classes Interested In Taking
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Allergies
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Tuition Policy
I understand that tuition is based upon the number of scheduled classes for the year. Tuition is non-refundable and is due by your child’s first dance class lesson. There is a $15 late fee per month charged to any account that is not paid by the 10th of the month. If your account becomes 2 months delinquent, your child will not be permitted to attend further classes. Tuition may be payed online, over the phone, or by mailing a check or money order to P.O. Box 8141 Mobile, AL 36689. Statements will be sent in class to past due accounts only.
Required
Withdrawing your Child From Dance Class
I understand that if I withdraw my child from class I MUST provide a 30 day written notice with their last months tuition. If this written notice is not mailed to MBDA within 30 days of my child's last day counted for attendance, I will be charged the following months of tuition along with a $50 fee. Until we have written confirmation, your child will be considered absent for that month and monthly tuition will still be due.
Required
Costume Policy
I understand that when withdrawing from the MBDA dance program prior to receiving my child's costumes, I acknowledge that I forfeit them. All costume fees are non-refundable.
Required
Release from Liability
We, the undersigned parents and/or guardians understand that as a minor, upon signing this agreement does hereby acknowledge that the activities that I have requested my daughter/son participate in may be stressful on the body and involve the risk of physical injury. I represent and warrant that my child is healthy and that I will ensure, prior to each class, that my child’s state of health is sufficient for safe participation in the classes. On behalf of my child and as her/his parent and/or legal guardian, I assume the risk and agree that Mobile Bay Dance Academy Inc., its employees, Kendra Partridge/Owner, Clarence Partridge and the owners or operators of any facility shall not be liable in any way for any injuries sustained or loss of property resulting directly or indirectly from attendance at the dance class, any of its related functions, as a participant or an observer on or off the premises. My child has permission to receive any necessary emergency medical care. Students must be covered by their own family health insurance. It is understood that the student’s own health insurance policy will be the only source for payment for any medical services, out of pocket expenses, and pain and suffering that may be incurred or result from treatment due to any injury or condition related in any way to attendance or any participation in any activity associated with Mobile Bay Dance Academy, Inc. Undersigned hereby agrees to indemnify, hold harmless and defend Kendra Partridge/Owner, Clarence Partridge as well as Owner’s servants, employees, officers, directors, shareholders, successors in interest, and assigns, from and for any and all actions, causes of action, costs, demands, debts, liability, damage, expense, fees (including the fees for attorneys and other professionals) or claims arising from or related in any way to the services provided hereunder.
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