STEP UP ACADEMY OF THE ARTS LLC
Tuition Authorization, Policies & Liability Agreement
Automatic Tuition: Payments will be processed on the 25th of each month for the following month’s tuition (e.g., September 25 for October tuition). Your monthly payment on time holds your child’s place in class! By signing, you authorize Step Up Academy of the Arts, LLC to charge your credit/debit card on a recurring monthly basis for all tuition and applicable fees. This authorization shall remain in effect until written notice via email of cancellation is received. A minimum of thirty (30) days’ written notice is required. You understand this is a recurring charge and failure to cancel properly will result in continued billing.
Name as it appears on card:
Card Number: Expiration Date: Security Code:
Authorized Signature:
Cancellation Policy: A 30-day written notice via email is required prior to the 25th billing date. If not received by the 24th, you will be charged. Tuition cannot be placed on hold. Withdrawal removes enrollment. Re-enrollment requires registration and space is not guaranteed.
I have read the above and agree: ___________
General Policies and Assumption of Risk: No refunds or credits for missed classes due to holiday, vacation, illness, weather, emergency closing, pandemic, etc. Participation includes inherent risks including injury or illness and you voluntarily assumed all risks.
I have read the above and agree: ___________
Medical Emergencies: I/we, the undersigned hereby authorize Step Up Academy of the Arts, LLC, its owners, operators, agents, and employees to seek medical treatment for my child, in the event they are not able to reach me/us, the legal parent/guardian. I hereby declare my child is in a condition of health and soundness of body that warrants his/her undertaking all aspects of the dance programs. I request that my child be transported to the nearest available hospital in the event of any serious medical emergency requiring immediate professional medical attention.
I have read the above and agree: ____________
Publications: I grant permission for promotional use of photos/videos without compensation and waive approval rights.
I have read the above and agree: ____________
Release of Liability: As the legal parent/guardian, I hereby release and hold harmless Step Up Academy of the Arts, LLC, and their respective agents, heirs, assigns, contractors, landlords, and employees from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, illness, 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 the control and supervision of Step Up Academy of the Arts, LLC, their respective agents, heirs, assigns, contractors, and employees or while my family member is in route to or from any of said premises.
I have read the above and agree: ____________
Student’s Name:___________________________________
Signature of Parent: ________________________________ Date: ______________
(On Behalf of Minor Child)