Auto Billing Information
Please print neatly and clearly. Two credit cards must be on file

Please read: All credit cards on file will be put into our automatic payment system which will run credit cards automatically on the first of each month from September through June. If a student withdraws for any reason at any point in time you are responsible for Sept-June tuition. If you are paying by another payment, you still must have an active card on file. Regarding check or cash payments: All payments must be current for the 1st of the month. You will be incurred a late charge fee of $25 if your card declines or if payment is received after the first of the month. We need two cards on file to avoid late payments. Please refer to the payment policies below.

Tuition Policies and Payment Procedures
First month’s tuition is due upon registration with a $35 reg fee. Subsequent month’s tuition is due the first of each month via Auto Pay. Last payment is June 1st. Studio closings for holidays, June shortened months are built into our pricing structure.
If your card is compromised for any reason, you must pay with cash or check before or on the 1st of the month, and then we can update the card on file.
If an account is 1 day past due, your account will be charged a $25 late fee. For returned checks, there is a $40 processing fee.
Dancers are unable to participate in any classes or events until the account is made current. There will be no deduction in tuition for students unable to attend classes due to an outstanding balance.
There is no tuition reduction for missed or canceled classes. Classes missed due to illness may be made up when the student is feeling better.

10-Month Committed Program. The signature I provided above states that I understand if my child withdraws at any time during the 10-month program I will be responsible for tuition and costumes fees owed. All tuition and other fees paid shall not be refunded at any time, regardless of the time of cancellation by parents or guardians or whether the relevant program has commenced. I understand if my child withdraws throughout the year, I will be required to pay all of their tuition balance owed for the entire year including costumes and or other fees they might have incurred on the date of withdrawal. Meaning you will be charged for the entire year on your credit card immediately on the date of withdrawal. If a student registers after January 1st and drops out at any time from Jan- June they will be responsible for tuition and all fees owed. The office must be notified to determine final payments. A credit will be on file for (1) year of the date of withdrawal.
Statement of Non-Refundability
I understand there are NO refunds given for classes or costume payments. If my child/children withdraw from TPDA Dance at any time during the ten-month program, I will not initiate a checking account and or credit card Chargeback or dispute a TPDA transaction for tuition, the registration fee, costume fees, early deposits, dress code, tickets, recital boosters, Photo day, Recital Link, business ads, summer dance, competition fees, competition choreography, solo privates, or any over payments. Or all other payments whatsoever. As I understand I am committing to a 10-month program. Once you sign up for the 10-month program you are responsible for all 10 months of tuition and all services connected to dance and this is non-refundable. If my child does drop out of dance I will automatically be billed that day for tuition and costume balances owed through June 1st. All sales are final
Summary of Costs
I agree to pay the following: (1) a non-refundable $35 registration fee per family upon registering; (2) the cost of tuition for every month enrolled September-June; (3) a non-refundable Recital/Performance fee and costumes at $100 cost per costume.
June Dance Recital/Rehearsal
I understand that my child/children will participate in the June recital upon registering and will be ordered a June dance recital costume in late September. All students will participate in the rehearsal and recital.
There will be a performance fee for each family participating. All tuition must be paid up to date in order to receive your costumes and tickets and participate in the June show.
Dress Rehearsal is mandatory for all dancers participating in the showcase.

Recital Costumes
Credit cards on file will be billed in (2) installments to cover your dancer’s June recital costumes.
First payment is due October and second payment is due in November.
Those who register after these dates will have their costumes split into two payments, due within the first 2 weeks of registration.
We will provide a cost worksheet that will include all costume fees.
All costume fees are non-refundable and exchanges are not permitted. These are custom ordered for each dancer.
I understand and agree that any costume adjustments and alterations, footwear, tights, hair accessories and props are the responsibility of the parent/guardian.
I understand that if my child withdraws before October 1, I will be responsible for the costume balance.
I agree to have the entirety of the 10-month tuition paid in order to receive costumes by June recital.
Injury Policy I choose to participate in classes, performances, workshops, and other activities at TPDA- Trumbull Performing Dance Academy 100 Hawley Lane Trumbull Ct 06611 of my own free will and certify that I am in proper physical condition to take part in such activities. By signing this document, I release TPDA their directors, owners, students, teachers, staff, employees, volunteers, associates from any liability or claim that I or my representatives may have against TPDA with respect to any bodily injury, personal injury, illness, death, or property loss or damage that may result from my participation at TPDA. I voluntarily release and forever discharge and hold harmless TPDA from any and all claims or demands for damages, loss of services, costs and expenses, injuries, attorney fees, and any other call for reparation from any and all injury to me or my property arising in any way from my participation in dance classes, camps, workshops, Competition, the use of TPDA equipment or facilities, and any activities associated with TPDA. I understand that there are risks of physical injury associated with, arising out of, and inherent to dancing. These risks include the potential for slips and falls, sprains, strains, dislocations, soft tissue injuries, musculoskeletal injuries, podiatric conditions, and other risks not specified here.Understanding these risks and the potential for others not listed, I agree to personally accept and assume all of the risks present in my participation at TPDA. My participation at TPDA is entirely voluntary, and I choose to participate in spite of the risks. Dance education sometimes requires hands-on instruction as well as verbal instruction. Instructors may correct dancers by touching their arms, legs, feet, hips, back and head to move them in the correct position. I acknowledge that this is a common standard in dance instruction and understand that it is my responsibility to communicate clearly with my teacher and/or the director.
General Policies
CREDITING CANCELED CLASSES. I understand full or half-year courses that are canceled by the staff will be used towards another course. If an event, services ie: Photo Day, Program Ads (missing an AD), DVD Link if canceled or not delivered. The person will receive a credit to be used toward a dance class. All credits expire by June 1st 2025
WITHDRAWAL.I understand if my child withdraws throughout the year. Or asked to leave by the studio due to inappropriate behavior. I will be required to pay all of their tuition balance owed for the entire year. If tuition was paid in full in the beginning of the dance season and my child withdraws no refund will be given. I also understand I will not initiate a credit card chargeback as I understand I have committed to a 10 month dance year with all the expenses included.
OVERPAYMENT. Any overpayment will not be refunded but left as a credit on file to be applied to the next session.
COMPETITION SCHOLARSHIP - I understand that if my child does not uphold the requirements in receiving the competition scholarship my child will be taken off the scholarship and possibly removed from TPDA dance program. I also understand there will be no refunds of any type given.
ADHERENCE TO DRESS CODE. I understand that my child will have to follow a dress code as outlined in the policy
MISSED CLASSES. I understand that missing classes, for any reason, does not change a student’s tuition rate.
RIGHT TO CANCEL, CONSOLIDATE OR CHANGE TO ANOTHER DAY FOR A MAKE UP.. I understand TPDA maintains the right to cancel, change to another day or time, or consolidate classes due to insufficient enrollment, loss of a teacher for any reason, at any time. There will be no refunds or credits provided.
By signing here, I have read and agree to all the terms and conditions clearly defined in this entire document. I understand that I am signing up for a 10-month contracted program and tuition is set up on an autopay system that will be charged to my credit card on file with TPDA to pay my Childs dance tuition. I also fully understand that if I withdraw from the program for any reason. I will not initiate a
checking account and or credit card Chargeback or dispute a TPDA transaction for Sept-June tuition.
I also understand that there are no refunds at any time. All sales are final!
Signature _________________________________________________________ Date____________________________

Tuition Policies and Payment Procedures
First month tuition is due upon registration with a $35 reg fee. Subsequent months tuition is due the first of each month via Auto Pay. Last payment is June 1st.I fully understand that September and June are half month requiring full tuition the closings for holidays are built into our pricing structure.
If your card is compromised for any reason, you must pay with cash or check before or on the 1st of the month, and then we can update the card on file.
If an account is 1 day past due, your account will be charged a $25 late fee. For returned checks, there is a $40 processing fee.
Dancers are unable to participate in any classes or events until the account is made current. There will be no deduction in tuition for students unable to attend classes due to an outstanding balance.
There is no tuition reduction for missed or canceled classes. Classes missed due to illness may be made up when the student is feeling better.
10-Month Committed Program. I understand if my child withdraws at any time during the 10-month program I will be responsible for tuition and costumes fees owed. All tuition and other fees paid shall not be refunded at any time, regardless of the time of cancellation by parents or guardians or whether the relevant program has commenced. I understand if my child withdraws throughout the year, I will be required to pay all of their tuition balance owed for the entire year including costumes and or other fees they might have incurred on the date of withdrawal. Meaning you will be charged for the entire year on your credit card immediately on the date of withdrawal. If a student registers after January 1st and drops out at any time from Jan- June they will be responsible for tuition and all fees owed. The office must be notified to determine final payments. A credit will be on file for (1) year of the date of withdrawal.
Statement of Non-Refundability
I understand there are NO refunds given for classes or costume payments. If my child/children withdraw from TPDA Dance at any time during the ten-month program, I will not initiate a checking account and or credit card Chargeback or dispute a TPDA transaction for tuition, the registration fee, costume fees, early deposits, dress code, tickets, recital boosters,Photo day, business ads, summer dance, competition fees, competition choreography, solo privates, or any over payments. Or all other payments whatsoever. As I understand I am committing to a 10-month program. Once you sign up for the 10-month program you are responsible for all 10 months of tuition and all services connected to dance and this is non-refundable. If my child does drop out of dance I will automatically be billed that day for tuition and costume balances owed through June 1st.
Summary of Costs
I agree to pay the following: (1) a non-refundable $35 registration fee per family upon registering; (2) the cost of tuition for every month enrolled September-June; (3) a non-refundable Recital/Performance fee and costumes at $100 cost per costume.
I June Dance Recital/Rehearsal
I understand that my child/children will participate in the June recital upon registering and will be ordered a June dance recital costume in late September/early October. All students will participate in the rehearsal and recital.
There will be a performance fee for each family participating. All tuition must be paid up to date in order to receive your costumes and tickets.
Dress Rehearsal is mandatory for all dancers participating in the showcase.
Recital Costumes
Credit cards on file will be billed in (2) installments to cover your dancer’s June recital costumes.
First payment is due October Thursday 12th and second payment is due on Friday, November 7th.
Those who register after these dates will have their costumes split into two payments, due within the first 2 weeks of registration.
We will provide a cost worksheet that will include all costume fees.
All costume fees are non-refundable and exchanges are not permitted. These are custom ordered for each dancer.

I understand and agree that any costume adjustments and alterations, footwear, tights, hair accessories and props are the responsibility of the parent/guardian.
I understand that if my child withdraws before October 1, I will be responsible for the balance owed on the costume(s).
I agree to have the entirety of the 10-month tuition paid in order to receive costumes by June recital.

Injury Policy
I agree to comply with the policies of TPDA Dance located in Trumbull, Connecticut 100 Hawley Lane In dance there is always some risk of personal injury or contracting illnesses from other students or staff. I hereby fully release and discharge TPDA, its owners, agents, contractors, and teachers from any and all claims from injuries, including but not limited to Covid-19, any medical expenses, legal fees, damages, or loss arising from the student’s participation at TPDA and all functions associated with TPDA.
I further authorize TPDA, or their designate(s) to provide emergency medical treatment to my son/daughter while he or she is on the premises or attending any program or event sponsored by TPDA

General Policies
CREDITING CANCELED CLASSES. I understand full or half-year courses that are canceled by the staff will be used towards another course. If an event, services ie: Photo Day, Program Ads (missing an AD), DVD Link if canceled or not delivered. The person will receive a credit to be used toward a dance class. All credits expire by June.1st.
WITHDRAWAL.I understand if my child withdraws throughout the year. I will be required to pay all of their tuition balance owed for the entire year
OVERPAYMENT. Any overpayment will not be refunded but left as a credit on file to be applied to the next session.
SWITCHING CLASSES; Classes cannot be switched to another class after October 1.
COMPETITION SCHOLARSHIP - I understand that if my child does not uphold the requirements in receiving the competition scholarship my child will be taken off the scholarship and possibly removed from TPDA dance program. I also understand there will be no refunds of any type given.
ADHERENCE TO DRESS CODE. I understand that my child will have to follow a dress code as outlined in the policy
MISSED CLASSES. I understand that missing classes, for any reason, does not change a student’s tuition rate.
RIGHT TO CANCEL AND CONSOLIDATE. I understand TPDA maintains the right to cancel, change to another day or time, or consolidate classes due to insufficient enrollment, loss of a teacher for any reason, at any time.

By Checking here, I have read and agree to all the terms and conditions clearly defined in this entire document. I also understand that my card will run on the first of each month for my child’s dance class tuition. This also applies if my child withdraws for any reason. I will not initiate a checking account and or credit card Chargeback or dispute a TPDA transaction of any kind. Tuition runs Sept-June. Otherwise, I will be forwarded to TPDA collections or have legal action taken.

I also understand that there are no refunds at any time. All sales are final!