Please take a moment upon registration to review and complete the following forms regarding your participation at Music in Motion Dance Academy. Adult students may sign the medical waiver only.

There are 3 total waivers to be submitted, please read thoroughly.


Music In Motion Dance Studio I am aware that participation in dancing and physical activity provided by Music In Motion Dance Studio is potentially dangerous and involves risk of injury. I understand that these risks include, but are not limited to injury to ligaments, muscles, tendons, bones, and other aspects of the body that may include head, neck, or spine. Due to the dangers of this activity, I understand the importance of myself or my child following the teacher's instructions regarding techniques, training, and other rules and agree that my child will obey these instructions. In consideration for allowing myself or my child to participate Music In Motion Dance Studio's activities, I hereby assume all the risks associated with the sport of dance and fitness activities at Music In Motion Dance Studio, and I agree to release Music In Motion Dance Studio and its employees or agents from any and all liability/responsibility which may arise in connection with my child's participation in activities at Music In Motion Dance Studio.
Guardians Name *
Guardians Name
Students Name *
Students Name
By including your signature here, you are signing this agreement electronically. You agree this electronic signature is the legal equivalent of your manual/handwritten signature on this agreement.
Date *
Date
We are excited and honored to feature our talented dancers and community in various areas on our website, promotions and social media pages. I hereby grant permission to Music in Motion the rights of my image, and likeness. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet, film, print or promotional settings. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational or promotional purposes.
Consenting Guardians Name *
Consenting Guardians Name
Students Name *
Students Name
By including your electronic signature here, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement.
Date *
Date

Payments- Tuition is averaged on a ten-month schedule regardless of how many weeks are in that month or if there is a holiday break in that month. I agree to pay tuition before the 10th of each month, whether classes are attended or not. I understand that if payments are received after the 10th of each month, I will be charged a $10.00 late fee. I understand that I am responsible for the full month of June's tuition which is also due by the June 10th. (Rehearsals and Performance are considered class) *All returned checks may be responsible for a $25.00 NSF Returned Check Fee which may also result in a $10.00 late tuition fee. *All accounts must be paid in full in order to participate in the recital. Costume Fees- Costume Fees for the recital must be paid by December 1st. These are approximately $75.00 per class. Combination classes only do ONE dance in the recital. Recital Fee- There is no recital fee. All items pertaining to the recital are purchased A La Carte including Photos, Tickets, T-Shirts and DVD's/Thumbdrives. We will offer a discounted package in the Spring for Early Bird Purchases. Absenteeism- Tuition is not pro-rated based on class attendance. Excessive absenteeism may result in choreography updates during class in recital . Music In Motion Dance Studio reserves the right to determine what excessive absenteeism is on a case by case basis. I understand that it is my responsibility for me/my child to make up any missed classes. Discontinuation of classes- We request a 2-week written notice if you decide to discontinue classes. If we do not receive notice, you may be responsible for the following month's tuition. Dress Code- I agree to follow the dress code that Music in Motion Dance Studio assigns. *Please see code in studio. Refund Policy-I understand that Music In Motion Dance Studio does NOT give refunds for tuition.
Guardian's Name *
Guardian's Name
Student's Name *
Student's Name
Date *
Date