2024-2025 Aftercare Registration Form

Student #1 Information

Student #2 Information

 

Student 3 # Information

Parent/Guardian Information

Emergency Information

(MUST list someone other than the parent)

Policies

 

Dance Class:  Aftercare students will participate in the following classes weekly for 45 min to one hour:  Ballet, Jazz, Hip Hop, African. 

Dress Code: Dressing appropriately for class is of utmost importance for the safety of students, to allow for proper instruction, and to show respect to the art form of dance. Students who are not dressed appropriately will be asked to observe. 

Dress Code for Aftercare:  Solid Black Leotard  with or without CWOD Logo, skin tone dance tights, skin tone ballet  shoes (without laces), skin tone slip on jazz shoes.

Ripped dance tights are not appropriate for dance class. WHEN OUTSIDE THE STUDIO, STUDENTS SHOULD WEAR COVER-UPS & NON-DANCE SHOES.

 

Fees: The registration fee $25.00  for the dance year (August –June). Weekly rates for aftercare is $65.00 per week which includes all dance classes. Payments must be made payable Crystal’s World of Dance via online invoicing. Sibling rates are $120 for 2 children and $170 for 3 children weekly 

Weekly Payments: Are due on Fridays for the following week, and are late on Monday at 8:00am at which time a $20.00 late fee will be added to the account. 

Monthly Payments:  Are due the1st of each month and are considered late on the 3rd of the month at which time a $20.00 late fee will be added to the account. 

Late Pick Up Fees:  Late pick up fees start at 5:46 and are $1.00 per minute.  This late fee must be paid no later than the following day or before the child returns.  

 

Performances: All students are included in our annual performances.  The holiday performance is in December and the end of the year recital is in May. Parents ae resonsible for the purchase of a BALLET and JAZZ Costume.  The costume will be used for all perofmances for the entire school year.  Costume payments are due in October. Parents may participate in fundraisers to ofset the cost.

 

If necessary to cancel a student’s enrollment early, an official “Withdrawal Form” must be submitted to CWOD Dance via email BEFORE the 1st of the month that the dancer will no longer be participating  I have read and understand all the rules and regulations regarding my child’s membership at CWOD

 
 

 

This is to certify that as (the participant or the parent/legal guardian of the participant) hereby agrees to waive, release, absolve, and covenant not to sue Crystal’s World of Dance or the Community Arts Mentoring Program, including any of its officers, employees, volunteers, organizers, sponsors, participants, representatives, and agents, for any and all claims, including claims for equitable or injunctive relief , actions, damages, loss or injury of any kind including personal injury, bodily injury, death, and property damage, liabilities, and expenses, including reasonable attorneys' fees and costs, in connection with or arising from my entry, participation and/or travel in any activities of any kind in any way connected to Crystal’s World of Dance. I further agree to assume liability for and indemnify, hold harmless, and Crystal’s World of Dance or the Community Arts Mentoring Program, including any of its employees, volunteers, organizers, sponsors, participants and agents of, from, and against all liability and expense, including reasonable attorneys' fees in connection with any and all claims, demands, damages, actions, causes of action, and suits in equity of whatever kind of nature, including claims for personal injury, property damage, relief, or loss of use, arising out of my entry, participation and/or travel in any activities of any kind in any due to or caused by the negligence of Crystal’s World of Dance or the Community Arts Mentoring Program, including all of its officers, employees, volunteers, organizers, sponsors, participants, representatives and agents. The obligations contained in this provision shall survive the termination of this Agreement and shall not be limited by any amount of insurance required to be obtained or maintained under this Agreement. I, intending to be legally bound, do hereby waive, release, and forever discharge all rights and claims against Crystal’s World of DANCE, and/or involved staff for damages or injury sustained by me or my child while in classes or on studio premises before or after class, or at any other studio activities including but not limited to recitals, workshops, camps, intensives, competitions, performances, and visits to surrounding community businesses. I authorize and agree to hold harmless Crystal’s World of DANCE, to obtain medical emergency assistance when they deem necessary and for Crystal’s World of DANCE, to provide transportation to receive such medical assistance for myself and/or my child named below. Please read carefully before signing. This Waiver, Release & Hold Harmless Agreement is signed of my own free act and will.

WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19

ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of Crystal’s World of Dance and or Project C.A.M.P and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,I , for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors ofpremises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

 

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Project CAMP and Crystal's World of Dance . and its affiliates including Directors, Teachers, and Staff and approved Volunterrs to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.