LOTUS REGISTRATION - NEW & RETURNING STUDENTS

TO JOIN OUR LOTUS HIP HOP PROGRAM, STUDENT MUST BE ENROLLED AT LOTUS PRESCHOOL AND MUST BE AT LEAST 3 YEARS OLD.

PLEASE FILL OUT THE INFORMATION BELOW REGARDING YOUR CHILD'S AGE AND WHICH CLASS(ES) INTERESTED IN ENROLLING FOR.

STUDENT INFORMATION

Student Name

First Name

Last Name

Student's Date of Birth

YYYY

Legal Guardian's Emergency Contact Information

Any student under the age of 18 and/or unable to legally agree to the terms stated on this form must also have their legal guardian complete the Legal Guardian's Emergency Contact Information section.

Parent or Legal Guardian's Name

First Name

Last Name

Parent or Legal Guardian's Email Address

Parent or Legal Guardian's Primary Phone Number

Relationship to Student

Please select which class you would like to enroll for.

FALL 2019/SPRING 2020 SESSION ONLY

Tuition Payment Options

Tuition is based on the number of classes a student takes per week and includes an annual registration fee of $25. Once a registration form is completed, a confirmation letter and invoice for tuition will be emailed. A student's spot in the class is only reserved when payment is completed. Payments must be paid before the 1st day of class. If paying in monthly installments, payment must be delivered by the 1st of every month. Checks must be made payable to The Get Down After the 8th of the month, your account will be considered late and a $25 late fee will be applied. If payment has not been received and student is a no-show on the first day of class, we will offer student's spot to the next person on the waitlist. FALL '19/SPRING '20 SESSION = 28 WEEKS LONG (14 WKS PER SEMESTER). ANNUAL REGISTRATION FEE = $25

Payment

I understand that all fees paid are nonrefundable and nontransferable and that tuition shall be paid at the first class unless other arrangements are made by written agreement with both parties. I understand that the fee for a returned check/declined card is $30. Should this provision have to be enforced by legal means, I am 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. By submitting this form, I have read, understood and agree to be bound by the Payment statement above.

I agree

Liability Waiver & Acknowledgement of Risk

I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of The Get Down classes, rehearsals, performances, or activities. I also exempt, release, and indemnify The Get Down, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by The Get Down. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold The Get Down, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am agreeing to this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights. I also give full permission to The Get Down to use photographs of students for publicity purposes. By submitting this form, I have read, understood and agree to be bound by the Liability Waiver & Acknowledgement statement above.

I agree

Agreement

By submitting this form, I have read, understood and agree that all information provided above to be true and to be bound by the above statements.

I agree

LOTUS - NEW STUDENT

LOTUS REGISTRATION - NEW & RETURNING STUDENTS

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