Dance Studio Enrollment & Liability Agreement

# Dance Studio Enrollment & Liability Agreement **Studio Name:** ___________ **Studio Address:** ___________ **Student Full Name:** ___________ **Date of Birth:** ___________ **Parent / Guardian Name (if student is a minor):** ___________ **Parent / Guardian Email:** ___________ **Student / Contact Email:** ___________ **Student / Contact Phone:** ___________ **Emergency Contact Name:** ___________ **Emergency Contact Phone:** ___________ **Medical Conditions / Allergies:** ___________ --- ## 1. Program Enrollment **Dance Style(s):** ___________ **Class Level:** ___________ **Class Day(s) & Time(s):** ___________ **Session / Season:** ___________ **Session Start Date:** ___________ **Session End Date:** ___________ --- ## 2. Tuition & Fees **Monthly Tuition:** ___________ **Registration Fee (non-refundable):** ___________ **Costume / Recital Fee (if applicable):** ___________ **Dance Shoes / Attire Requirement:** ___________ **Billing Date:** The ___________th of each month Tuition is due on the billing date each month regardless of holidays, inclement-weather closures, or individual absences. The studio does not issue refunds for missed classes; makeup classes may be offered at the studio's discretion. Returned payments incur a $30 fee. **Billing Method:** ___________