Chris' Upstage Performance Studio

 

509 990-3434

 

 

                                                                                                                                                           

Student's Last Name (Print)                                                    Student's First Name (Print)                            MI.

 

                                                                                                                                                                                               

P O Box; Street; Apt                                                             City                                                       State                       Zip Code

 

                                                                                                                                                           

Date of Birth (MM/DD/YYYY)                                                Male or Female                       Home Phone (include area code)

 

                                                                                                                                                           

E-mail: Student's                                                                                 E-mail: Parent's

 

                                                                                                                                                           

1st Class                                                                              Day / Time                                                           Instructor

 

                                                                                                                                                           

2nd Class                                                                              Day / Time                                                           Instructor

 

                                                                                                                                                           

3rd Class                                                                              Day / Time                                                           Instructor

 

                                                                                                                                                           

4th Class                                                                              Day / Time                                                           Instructor

 

                                                                                                                                                           

5th Class                                                                              Day / Time                                                           Instructor

 

 $25.00 Registration Fee[CUPS1]               $25.00 End of the Year Recital Fee

 

Policy & Procedures

ATTENDANCE: An important part of learning to dance is attendance. It takes time and perseverance to

build the strength and learn all the techniques involved in dance. Dance looks easy, but dance lessons

are far from easy. Be patient and supportive of your child. We urge parents to enroll their child with the

intention of completing eleven months. When a student misses class, it not only affects him/her, but it

also affects everyone else in the class. If your child must miss class please call and notify the office.

Students must not go outside for any reason until their ride arrives. Students under 7-yrs of age must

have their parents come into the building to pick them up. Please be on time for drop off or pick-ups.

MAKE UP CLASSES: Make up classes may be scheduled at a time that is convenient for both you and

the studio. There will be no refunds for missed classes. In the event of excessive absenteeism, the

instructor has the right to ask the student to take a lower level class and/or dismiss that student from the

showpiece, even if the costume has been paid for with no refunds. Students that quit and start back in

the same year will be asked to repay a registration fee.

ATTIRE: Proper attire (including shoes) is necessary to participate in class. Those that do not have

proper attire must sit and observe class. Parents will be notified. This is for the safety of your child. (No

street shoes or jeans.)

TUITION & REFUNDS: There will be no refunds for any reasons. If you decide to discontinue a class,you will provide a written notification two-weeks prior to the next month. You will be billed continuallyuntil you let us know. If monthly payments are not being made, late fees will be added. Monthly rates stay the same, even though class days vary per month. Refer to website for summer class rates. Tuition is due by the 5th of each month. If your tuition is received on or after the 6th of the month a $5.00 late fee will be charged. There is a $30.00 fee charged for all returned checks. Tuition may be mailed to Chris' Upstage Performance Studio, P O Box 1461, Mead WA 99021, or dropped in the tuition box inside the studio. We will not send you a bill unless your payment is late.

MEMBERSHIPS: Platinum, Gold and Silver Memberships require a 12-month agreement. If you cancel your membership prior to the 12-month term of your agreement, you agree to be held responsible for the full balance of the membership plus a 10% cancellation fee. A 30-day cancellation period is provided without penalty from the first day of acceptance.

 

Membership payments are processed via http://upstageperformancestudio.com/shopupstage.html

DEFAULTS: If your tuition or membership is 60 days overdue you agree to pay any and all collection, court and attorney fees provided by law.

CLASS PLACEMENT: Class placement is determined at the time of registration, based on the student's

age and experience. Our staff will evaluate students during the first week of class to assure proper

placement when there is any doubt about a students level. We place in the lower level so those students

may be advanced rather than moved back if adjustment is required. Please be patient with schedule

changes, which may occur to accommodate all students.

CONCERNS: Chris' Upstage Performance Studio will try and please all our student and parents

needs. Please do not interrupt the staff during class times, with questions or complaints. Call and leave a

message for the teacher you need to speak with, or speak to the front desk staff or leave a note in the

tuition box. Staff phone numbers will not be given out. Instead we will provide your phone number to the

teacher you need to speak with. If the problem is not remedied after talking with the teacher, a call or

appointment can be made with Chris’ Upstage Performance Studio.

CHOREOGRAPHY: I will ask permission to use any of Chris' Upstage Performance Studio

choreography and give credit to Chris' Upstage Performance Studio and appropriate choreographer,

if allowed to use choreography.

PHOTOS: All photos and videos taken by the studio or by a professional of my child or myself may be

used in studio promotions.

END OF YEAR RECITAL: Our year-end show is a great experience, but it is optional. We hope everyone

plans to participate. The $25.00 recital fee is a non-refundable fee, which goes towards the cost of theatre rental, tech run-through fees rehearsal time, insurance, security, programs, stage surfaces, props sound and lighting. The fee does not cover tickets for your family, guests and friends. Our show normally falls during a weekend, at the end of June. Not all classes on the schedule participate; please ask staff for more details. Costume fees for each class range from $0 -$100. You may be asked to buy special shoes, tights, make-up, etc. Costume fees are due in full by December. Those interested in paying toward their

costume may do so on a paying plan with a minimum deposit of $25.00. Costumes may need altering. It

is your responsibility to alter your own costumes.

GENERAL RULES: No smoking in the studio. No gum, food or drink in the dance rooms or voice rooms.

Only dancers enrolled in each specific class are allowed in the dance rooms or voice rooms. Homework is

to be done before class or after class, not during class. Chris' Upstage Performance Studio is not

responsible for injuries sustained at the studio or in conjunction with studio related activity. Do not leave

siblings unattended in the studio. Chris' Upstage Performance Studio is not responsible for lost or

stolen items. No mobile phones or pagers to be brought into the dance rooms. The telephone is for

studio personnel only. Policy & Procedures and Release from Liability, Waiver of Claims & Assumption of

Risk must be signed to take class. No exceptions.

 

By signing and dating this Policy & Procedures, I confirm that I have read the Policy & Procedures in full,

that I understand its terms, and that I agree with those terms.

 

RELEASE FROM LIABILITY, WAIVER OF CLAIMS &

ASSUMPTION OF RISK

By signing this Release, Waiver & Assumption of Risk, (the "Release") I agree that Chris' Upstage

Performance Studio shall not be responsible for any injury suffered by the student ("student"). The

Release extends to Chris' Upstage Performance Studio, and its owners, officers, agents, instructors

and employees (all of which are collectively referred to herein as "studio"). The Release extends to every

claim, demand or liability of any kind based on any injury or damage described below. I understand that

dance and cheerleading activities as conducted and taught at the studio have inherent risks of injury.

These risks include muscle pain and pulls, broken bones, ankle injuries and other personal injury. I

recognize that the student is exposing himself/herself to such risks when undertaking dance activities. I

understand that these risks cannot be fully eliminated without jeopardizing the essential qualities of the

activity. The student and I assume and accept all risks of injury or damages resulting from such dance

activities. The student's participation in this activity is purely voluntary, and the student elects to

participate, and I join in that election, in spite of the risks.

 

 

I also agree that the studio, including its owners, officials, agents, instructors and employees, is not

responsible for any property loss or damage suffered by the student or any guests or parents of the

student that results upon entry into or presence in the studio or its surrounding property.

 

I further understand that I have been advised of the need for the student to be covered by adequate

insurance to cover any injury or damage that may be suffered while participating, and I have obtained

such insurance or have agreed to bear the costs of any such injury or damage myself.

I understand the terms of this Release and have had the opportunity to consider and discuss it with such

individuals and advisors as I deem appropriate. By signing and dating this Release, I confirm that I have

read the Release in full, that I understand its terms, and that I agree with those terms. I further

confirm\that by signing this Release, I acknowledge that if the student is hurt during participation in this

activity, I may be found by a court of law to have waived my right and any right of the student to

maintain a lawsuit against the studio on the basis of any claim which is released hereby. In consideration

of the student's being permitted by the studio to participate in the activities provided by the studio, I

further agree to hold harmless and indemnify the studio from any and all claims which are brought by or

on behalf of any student who is a minor and which are in any way connected with the activities

performed at the studio by any such minor student.

 

 

                                                                                                                                                           

Student's Signature                                                                                                            Date

 

                         I will allow a doctor's treatment to my child in an emergency situation.

Parent's Initial, if agree.

 

                                                                                                [CUPS2]                                                   

Parent's Signature                                                                                                             Date

 

                                                                                                                                                           

Print Parent's Name                                                                                                           Home / Work Phone (include area code)

 

                                                                                                                                                           

1. Emergency Contact Name (please print)                                                                          Phone

 

                                                                                                                                                           

2. Emergency Contact Name (please print)                                                                          Phone

 

                                                                                                                                                           

Health Issues / Allergies / Medication

 

                                                                                                                                                           

Physician's Name                                                                                                              Phone

 

                                                                                                                                                           

Hospital / Address / Phone

 

Thank you for registering with Chris' Upstage Performance Studio!

Addendum

to

RELEASE FROM LIABILITY, WAIVER OF CLAIMS &

ASSUMPTION OF RISK

 

I also recognize that while participating in activities provided by Chris' Upstage Performance Studio at Flip Factory Gymnastics and/or any other facility we are aware of the risk and hazards associated with gymnastic equipment. Students may suffer injuries, possibly minor, serious or catastrophic in nature. Gymnastics, tumbling, cheerleading and dance can be dangerous and can lead to injury.

 

Chris' Upstage Performance Studio, Flip Factory Gymnastics and/or any other facility, and its owners, officers, agents, instructors and employees, will not accept responsibility for injuries sustained by any student during the course of gymnastics, tumbling, cheerleading, dance instruction or open workouts or in the case of any exhibition, competition, clinic or day camp in which he/she may participate whether at Chris' Upstage Performance Studio, Flip Factory Gymnastics, and/or any other facility or during the course of traveling to or from the aforementioned.[CUPS3] 

 

 

 

                                                                                                                                               

Student's Name (Please print)

 

 

                                                                                                                                               

Parent Signature                                                                                                Date

 [CUPS1]Please print, sign and mail this form with your $25.00 Registration Fee.

 [CUPS2]Please print, sign and mail this form with your $25.00 Registration Fee.

 [CUPS3]Must be attached if you attend class(es) in Airway Heights WA.