Parent Waiver Signature Student's First Name* Student's Last Name* Date* MM slash DD slash YYYY Mom's First Name* Mom's Last Name* Mom's Email Address* Mom's Work / Cell Phone*Dad's First Name Dad's Last Name Dad's Email Address Dad's Work / Cell PhoneMailing Address* City* Zip* Student Release FormPLEASE READ CAREFULLY AND CHECK EACH ITEMStudent Name* First Last COVID-19 DISCLOSURES (PLEASE READ CAREFULLY AND CHECK EACH BOX)* Select All Dancers will provide their own PPE Dancers will provide their own water bottle and are prohibited from sharing with other dancers (drinking fountain will be turned off) Dancers and families are aware the lobby is closed and will have limited restroom access. Families will follow the drop off and pick up procedure. Dancers must monitor temperature at home prior to attending classes/rehearsals. Dancers will not attend class/rehearsals if they or someone they have been in contact with has tested positive or shown symptoms. If dancers have traveled out of state they will take necessary precautions before returning to the studio. I agree to report to Elite Dance Studio if any dancer or an immediate family member receives a positive Covid test. PLEASE READ CAREFULLY AND CHECK EACH BOX (2020-2021)* Select All I understand that tuition is due by the 1st of each month. Tuition can be paid by check, cash, credit card, Paypal or by Elite’s auto pay service from a checking account. I understand and agree to pay a $20.00 late fee if tuition is not received or if an incorrect amount is received by the 10th of that calendar month. I agree to pay a $30.00 fee for all NSF checks returned by the bank. I understand there are no refunds/discounts for missed classes and due to size restrictions and reporting guidelines, Elite does not offer make up or drop in classes. I understand the studio may have to close due to Covid state mandates. Monthly tuition will not be adjusted. The length of closure will determine how the studio proceeds with classes. I understand that the monthly tuition fee schedule is based upon a 4 week average month. There will be some months that have 5 weeks and some that have 3 weeks, but tuition is prorated out for 10 months, September- June, so regardless of weeks per month, tuition fees are the same each month. I understand that any changes (add or drop) of classes must be done online and by the 1st of the month in order for the change to take affect for that payment period. I acknowledge and agree that dance training and performing are strenuous physical activities that involve risk of property damage, bodily and personal injury, illness (including Covid 19), and assume full risk and responsibility. In permitting student to participate in dance training and performing and any activity ancillary thereto, I hereby voluntarily and absolutely release, discharge, waive and relinquish any and all claims, causes of action, losses, costs, expenses, and/or damages, whether in law or equity, against Sara Anderson, ELITE DANCE STUDIO, LLC, employees, contracted instructors, assistants, and volunteers. I also hereby authorize instructors to obtain appropriate medical treatment for my son/daughter if injury or illness occurs during dance training or performance. I understand that Elite Dance Studio LLC will from time to time produce promotional and other materials, including social media outlets, relating to its programs. I understand that as a participant in and/or a spectator at the Elite Dance Studio LLC we may be included in videos and/or photographs taken during any our events. Therefore, without reservation or limitations, I, in my own behalf and on behalf of the Minor Participant, hereby assign, transfer and grant to Elite Dance Studio LLC the right to photograph and/or record my Minor Participant in advertising and promoting Elite Dance Studio LLC. Adult (over 18) signing student release (typing of name constituted a signed waiver)* First Last Signature*Medical InformationPlease list any important medical information: medications, allergies, limitations/disabilities.Additional Comments / RequestsIf you don’t see a submit button please make sure you’ve checked all the boxes agreeing to our studio policies in the section above labeled: "PLEASE READ CAREFULLY AND CHECK EACH BOX"