2019 - 2020 Agreement Form 
I agree to comply with the stated conduct and rules of Miriam's Dance Academy.
I understand that tuition is due on the 5th of every month, and if payment is made after the 15th of every month I will incur a $10 late fee. I also understand that for any returned check, I will incur a non-refundable $25 returned check fee.
I understand that costumes will not be ordered if I have past due fees. I understand any tuition over 30 days old, the dancer may not be permitted to class, until the tuition is paid up.
I understand that dance holds a risks, therefore I will not hold H.U.U.R.T. CDC or Miriam's Dance Academy responsible for any theft, accident or injury at any performance, class, function or activity while in the presence of Miriam's Dance Academy.
I release and hold harmless H.U.U.R.T. CDC, Miriam's Dance Academy and its operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under our control.
I understand that H.U.U.R.T. CDC and Miriam's Dance Academy is not financially responsible for any medical bills as a result of injury, accident or death in or around our premises, activities, functions, etc.
I give Miriam's Dance Academy the right to use and reproduce all photographs, video clips, and/or audio clips taken of me or my child. I understand these may be used for advertising, promotions and material produced for the academy.
I have read and agree with the informational guide as it applies to my dancer.