Turning Pointe Dance
 


Family Information

Parent Email

Parent Name
Street Address
City
State
Zip
Home Phone
Cell Phone
Dancer Information

First and Last Name of Student

Student Age
Student Grade
Student DOB
1st Class - Student 1
2nd Class - Student 1
3rd Class - Student 1
4th Class - Student 1
5th Class - Student 1
6th Class - Student 1
First/Last Name 2nd Student
2nd Student Age
2nd Student Grade
2nd Student DOB
1st Class - Student 2
2nd Class - Student 2
3rd Class - Student 2
4th Class - Student 2
5th Class - Student 2
6th Class - Student 2
First/Last Name 3rd Student
3rd Student Age
3rd Student Grade
3rd Student DOB
1st Class - Student 3
2nd Class - Student 3
3rd Class - Student 3
4th Class - Student 3
5th Class - Student 3
6th Class - Student 3
Emergency Information

AllergiesMedical Concerns

Emergency Contact Name
Emergency Contact Phone
* A $10 late fee will be charged if tuition is not received by the 10th of each month.
* All tuition, fees, and costume payments are non-refundable.
* By submitting your name in the Signature field, the Parent/Guardian agrees to read or have read the policies for Turning Pointe School of Dance and the payment schedule, studio schedule, fees and policies.

Release, Waiver, Indemnity Agreement
In consideration of permitting <student name(s)> to enroll and participate in activities and class instruction of lessons given by Turning Pointe Dance, LLC at the facility of Turning Pointe Dance, LLC in the city of Colorado Springs, El Paso County, and the state of Colorado. I hereby voluntarily release, discharge, waive, and relinquish any and all actions or cause of action for personal injury, property damage, or wrongful death occurring to me arising as a result of ongoing or receiving instructions in said activity or any activities incidental therein wherever or however the same may occur and for whatever period said activities or instructions may continue. I, for myself, my heirs, executors, administrators and assigns hereby release, waiver, discharge, and relinquish any actions or cause of action, aforesaid, which may hereafter arise for me and for my estate and agree that under no circumstances will or my heirs, executors, administrators, and assigns prosecute, present any claim for personal injury, property damage, or wrongful death against Turning Pointe Dance, LLC, its facilities or any of its officers, instructors, agents, or employees for any said causes of actions, whether the same shall arise by the negligence of any said persons or otherwise. It is my intention by this instrument to exempt and relieve Turning Pointe Dance, LLC and its officers from any liability for personal injury, property damage, or wrongful death caused by student negligence.

I acknowledge that I have read the above paragraphs and have been fully and completely advised of the potential dangers incidental to engaging in the activity and instruction of dancing and am fully aware of the legal consequences of signing this instrument.

Signature of Parent/Guardian

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