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Consent and Release Form
By giving my child(ren) permission to participate in dance and gymnastics at Millers Center Stage Dance Academy, I acknowledge that any activity involving the risk of injury, ranging from minor injuries (such as bruises, sprains, etc.) to serious and even catastrophic injuries (broken limbs, paralysis, etc) could occur. I hereby release Millers Center Stage Dance Academy, LLC, their officers, owners, employees and agents from any and all claims for damages to persons or property, which might arise as a result of an accident occurring while my child(ren) is participating in the Millers Center Stage Dance Academy dance and gymnastics program.

I hereby state that I have read the packet and agree to the rules, requirements, tuition and fees and regulations associated with my child attending Millers Center Stage Dance Academy.

I understand and agree to:

My child(ren) will perform in the annual rehearsal and recital that is scheduled for the end of May 2027. I understand that attendance at the Dress Rehearsal is mandatory for my child to participate in the revue.

My child needs to attend class in Center Stage Dance Academy uniform, have their dance shoes with them and be ready to dance when class begins

That tuition is due by the 20th of each month (Sept-May), that my account needs to be paid up-to-date by Dec. 20th to have costumes ordered and paid in full by May 20th to participate in the revue.

If my child misses 6 or more classes after October 1, does not attend make-up days (if scheduled), and does not know their routine well enough, they will be removed from the recital. No refunds given.

I understand that once costumes are ordered, I am responsible for the entire costume costs even if my child does not participate in the revue.

My child(ren)s image may be used on social media posts made by Center Stage Dance Academy.

If my child(ren) are not following the classroom rules and becoming a behavior problem, they will not be allowed to participate in class and could be removed from the dance studio. No refunds on tuition or costumes will be given.

Sign and Return on your child’s 2nd day of class. A copy of this Consent Form will be kept on file.

Consent and Release Form
By giving my child(ren) permission to participate in dance and gymnastics at Miller’s Center Stage Dance Academy, I acknowledge that any activity involving the risk of injury, ranging from minor injuries (such as bruises, sprains, etc.) to serious and even catastrophic injuries (broken limbs, paralysis, etc) could occur. I hereby release Miller’s Center Stage Dance Academy, LLC, their officers, owners, employees and agents from any and all claims for damages to persons or property, which might arise as a result of an accident occurring while my child(ren) is participating in the Miller’s Center Stage Dance Academy’s dance and gymnastics program.

I hereby state that I have read the packet and agree to the rules, requirements, tuition and fees and regulations associated with my child attending Miller’s Center Stage Dance Academy.

Student(s) name:_________________________________________________________

Parent/Guardian signature: _________________________________________________

Date: _______________


My child(ren) ____will ____will not perform in the annual rehearsal and recital that is scheduled for the end of May, 2026. I understand that attendance at the Dress Rehearsal is mandatory for my child to participate in the revue.

Please initial stating that you understand and agree:

______ that my child needs to attend class in Center Stage Dance Academy’s uniform, have their dance shoes with
them and be ready to dance when class begins

______ that tuition is due by the 20th of each month (Sept-May), that my account needs to be paid up-to-date by
Dec. 20th to have costumes ordered and paid in full by May 16th to participate in the revue.

______ that if my child misses 6 or more classes after October 1, does not attend make-up days (if scheduled), and
does not know their routine well enough, they will be removed from the recital. No refunds given.

______ that once costumes are ordered, I am responsible for the entire costume costs even if my child does not
participate in the revue.

______ that my child(ren)’s image may be used on social media posts made by Center Stage Dance Academy.

______ that if my child(ren)’s are not following the classroom rules and becoming a behavior problem, they will
not be allowed to participate in class and could be removed from the dance studio. No refunds on tuition or
costumes will be given.

Consent and Release Form

By giving my child(ren) permission to participate in dance and gymnastics at Miller’s Center Stage Dance Academy, LLC, I acknowledge that any activity involving the risk of injury, ranging from minor injuries (such as bruises, sprains, etc.) to serious and even catastrophic injuries (broken limbs, paralysis, etc) could occur. I hereby release Miller’s Center Stage Dance Academy, LLC, their officers, owners, employees and agents from any and all claims for damages to persons or property, which might arise as a result of an accident occurring while my child(ren) is participating in the Miller’s Center Stage Dance Academy’s dance and gymnastics program.

By signing/agreeing to the Consent Form, I also agree to the following:

My child(ren) will perform in the annual rehearsal and recital that is scheduled for the end of May, 2027. I understand that attendance at the Dress Rehearsal is mandatory for my child to participate in the revue.

I understand that my child needs to attend class in Center Stage Dance Academy’s uniform, have their dance shoes with them and be ready to dance when class begins

I understand that tuition is due by the 20th of each month (Sept-May), that my account needs to be paid up-to-date by Dec. 20th to have costumes ordered and paid in full by May 16th to participate in the revue.

I understand that if my child misses 6 or more classes after October 1, does not attend make-up days (if scheduled), and does not know their routine well enough, they will be removed from the recital. No refunds given.

I understand that once costumes are ordered, I am responsible for the entire costume costs even if my child does not participate in the revue.

I understand that my child(ren)’s image may be used on social media posts made by Center Stage Dance Academy.

I understand that if my child(ren)’s are not following the classroom rules and becoming a behavior problem, they will not be allowed to participate in class and could be removed from the dance studio. No refunds on tuition or costumes will be given.

I hereby state that I have read the class packet and agree to the rules, requirements, tuition and fees and regulations associated with my child attending Miller’s Center Stage Dance Academy.