Waiver


May 28, 2026 11:40 AM



(I understand that Nicole Cote School of Dance charges a fiscal school year rate and is allowing me to pay this yearly rate is monthly installments. Payments are expected each month as long as my child continues throughout the entire school year. Monthly payments are for my convenience only and must be paid by check, cash, or auto pay. I am responsible for knowing when my payment is due and I realize that I am subject to a $25.00 late fee if my payment is not in by the 5th of each month.) Monthly installments are based on the total number of weeks per season. No month is pro-rated at any given time including with the exception of August.
(I understand that if at any time my monthly tuition is not paid by the 5th of the month, Nicole Cote School of Dance has the authority to debit the balance owed on my account from the above account information that I have provided. The late fee of $25 will be included in the deduction of the monthly tuition. If in the event the account is declined there will be a $35 charge automatically applied to the account.

{} I have filled out the above credit card info and will only be charged if the account is past due after the 5th of each month and will be charged $25 late fee to be included.
{} please check this box and sign below to acknowledge that you have read and agree to all of the studio's policies.
We sometimes use candid shots for advertisement and promotions. Do you give us permission to use image’s
of your child for those purposes? {} Yes {} No