You must be over 18 to register for an account.

PHOTO RELEASE FORM

By signing this release form, I authorize Klamath Dance & Exercise, to use the following personal information
(1) My Picture – including photographic, motion picture, and video images.

I hereby grant to Klamath Dance & Exercise, its subsidiaries, licensees, successors and assigns, the right to use, publish, and reproduce, for all purposes, my name, pictures of me in video recordings, and printed and electronic copy of the information described in sections (1) above in any and all media including, without limitation, cable and broadcast television and the Internet, and for exhibition, distribution, promotion, advertising, brochures and other print media. This permission extends to all languages, media, formats and markets now known or hereafter devised. This permission shall continue forever unless I revoke the permission in writing.

I further grant Klamath Dance & Exercise all right, title, and interest that I may have in all finished pictures, negatives, reproductions, and copies of the original print, and further grant Klamath Dance & Exercise the right to give, sell, transfer, and exhibit the print in copies or facsimiles thereof, for marketing, communications, or advertising purposes, as it deems fit.

I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for Klamath Dance & Exercise use of any of the material described above for any of the purposes authorized by this release. I also waive any right to inspect or approve finished photographs, audio, video, multimedia, or advertising recordings and copy or printed matter or computer generated scanned image and other electronic media that may be used in conjunction therewith or to approve the eventual use that it might be applied.

I acknowledge that I have read the foregoing and I fully understand the contents.

IN WITNESS WHEREOF, I have executed this release on this _____ day of __________, 20____.

Print Name: __________________________________________________________________________

Telephone Number: ___________________________________________________________________

Address/City/State/Zip: _________________________________________________________________

Signature: ____________________________________________________________________________

If release is provided on behalf of a minor:

I hereby certify that I am the parent or guardian of _________________________, who is under the age of eighteen years, to whom this release applies and that I have the legal authority to execute this release. I approve the foregoing and agree that we both shall be bound thereby.

Parent/Guardian: _____________________________________________________________________

Telephone Number: ___________________________________________________________________

Address/City/State/Zip: ________________________________________________________________

Signature: ___________________________________________________________________________

Class & Dress Code ~ Rules Contract

Please Initial Each Line

______ Students must be on time to class! Three tardies will
be considered one absence.
______ Dress Code for each age group and style of dance may
differ. Ask to see reference sheet.
______ Hair must be pulled back and secured away from
face and neck. (Bun Preferred)
______ Mark dancers name in dance shoes. KD&E is not
responsible for lost items.
______ No food, drink or gum. Water bottles are allowed in
classrooms only if they close tightly.
______ No Running in the Hallways!
______ Parent Observation days are scheduled for the third
week of: October, February and April. Having guests in
the classroom can be a hindrance to the learning
process as they create a distraction.
_________________________________________________________________________________________________________________________________
Studio ~ Payment/Attendance ~ Contract

______ A registration fee of $10.00 is due per dancer within
the Fall/Spring sessions. Summer session registration is
waived for dancers enrolled in the Spring session.
______ Tuition is Due on the 1st of each Month. Statements
are emailed monthly so make sure to update your email
if it changes. Parents are able to log into the “Parent
Portal” to check tuition and make payments. Payments
can be made in person with cash, check or card.
______ Automatic Payment. Tuition and other charges can be
paid automatically each month by going to the “Parent
Portal” to fill out the required ACH info.
______ A late fee of $10.00 will be posted to your dancers
account on the 11th for all outstanding balances.
NO EXCEPTIONS!!
______ A return payment fee will be added on all returned
payments resulting in NSF.

______ Past due accounts. Accounts with no payment for
three consecutive months, and no prior arrangements
have been made, will be turned over to collections.
Additional fees may apply.
______ Shoe/Dancewear orders. A restocking fee of $5.00
will be charged for cancelled or returned orders
______ Make-up classes are not offered for missed classes or
tardiness.
______ Early withdrawal All tuition and fees are non-
refundable. We have contracts with the theater, vendors
and instructors that we are obligated to fulfill. Please
make arrangements if finances are a concern or change
in circumstances as there may be ways to assist.
______ Drop slip. If your child is no longer taking classes, a
“Drop Slip” MUST be completed and any unpaid
balances paid. Late fees will continue to be charged
until balance is paid in full.
______ Spring Recital Costumes an $80.00 costume fee per
class, per style will be charged to accounts in October
and is due by December 10th. If there is a costume
balance owing, those balances will be due March 10th
______ Account balances MUST be paid in full prior to
each performance in order for your dancer to
perform.
______ Schedules of classes are subject to change. Classes
with insufficient registration will be offered
alternative classes.
______ Classes WILL NOT be held during the week of
Thanksgiving or Oregon Spring Break.
______ Please notify the office of any information that involves
your child leaving with someone other than yourself
whether it is only occasionally or weekly.
______ Students are not allowed to wait outside. Student
safety is our priority!

Ask for the entire pages of Rules, Regulations and
Requirements available at the front desk.



FALL & SPRING ATTENDANCE CONTRACT

• There are approximately 12-14 weeks of dance in the Fall Session, from September – December, culminating in a Winter Showcase performance at the Ross Ragland Theater.
• There are approximately 15-18 weeks of dance in the Spring Session, from January – May, culminating in a Spring Recital performance at the Ross Ragland Theater.
• There is a short 6 week summer session held mid-June to early August. A parent observation day and presentation will be held in the classroom on the last day of classes.

Attendance is taken in each class, and as with any program, steady attendance is a requirement for success. Regular attendance is imperative as absences and tardiness can hold back an entire class, and the instructors cannot jeopardize responsibility to the rest of the class for one student.

Students who miss three or more classes during each session may have a diminished role in performances. More than three absences between March 1st through the Memorial Day Holiday may result in removal from class numbers or competition pieces.

Cases of prolonged absence, due to illness or injury, should be discussed with the instructor and studio. A doctor’s release may be required to continue with the program. Zoom options for observation may be used for special circumstances.

We understand that emergencies and illnesses do occur, and all cases will be examined on an individual case by all of instructors

Communication is vital between students and their instructors! If you are going to be missing class and have prior knowledge, it is important to let your teacher know. Phoning and leaving a message on the answering machine or with the office manager is encouraged if you will be missing without having given prior notice.

Once again, all of our students are important to us and quality instructional time is valuable in order to provide a fun and enjoyable dance experience!

PLEASE SIGN BELOW

I have read the Attendance Policy printed above and understand its contents and agree to abide by them to the best of my ability.

Parent/Guardian Signature:_______________________________________________ Date:_____________________________

Waiver of Liability

I, the undersigned, hold Klamath Dance & Exercise, and any entities herein, harmless from any injury that I or my child may suffer due to the reasonable instruction of the class(es) that I, or my child are currently enrolled in.

I have signed and dated this Waiver of Liability with the full understanding and agreement as to the provision set above.



Signature:__________________________________ Date:__________________




Note: If the student is under 18 years of age, a parent or guardian signature is
required to validate this agreement.





Dress Code, Attendance, Tuition & Payment Procedure Contract

I have read the attached Class, Attendance, Tuition & Payment Procedures Contract, and fully understand and will comply with all rules so stated.



Signature:_____________________________ Date:________________