I understand that one make-up class is permitted for each class my child misses. Make-up classes must be taken within 30 days of the missed class(es) and approved by Director. I also understand that all fees paid are non-refundable and non-transferable. The parent or guardian is responsible for notifying, in writing, For the Love of Dance LLC of any change to the credit card or checking account. The NSF fee for returned checks is $45.There is a $6 fee for declined credit cards. Should this provision have to be enforced by legal means, the undersigned person(s) is responsible for payment, as liquidated damages, the costs of collection, plus interest at the legal rate and reasonable attorney’s fees as determined by the Court or 15% of the amount collected failing such determination.
Release and Authorization
Indicated in the space below are any health problems or conditions of which the studio should be aware (such as heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc.).I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, herby waive and release For the Love of Dance individually and For the Love of Dance, LLC. and its staff from any and all claims or damages of any kind arising out of my child’s participation in the exercise and/or dance program of For the Love of Dance, LLC. I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do herby authorize For the Love of Dance, LLC or her designated agents(being teachers or administrators employed by For the Love of Dance, LLC.) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make For the Love of Dance, LLC. responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date signed below.