Winter REGISTRATION

Name

First NameLast Name

Age

Birthday

Date

T-shirt Size

Known Allergies/Medical Conditions

Parent/Guardian Name

First NameLast Name

Parent/Guardian Contact

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Studio Location

(which studio will you be registering for)

Years of Experience (Dance/Tumble)

Age group/placement

Select Program(s)

Medical Release/ Liability Waiver Signature

Liability Waiver & Medical Release I, the undersigned, hereby waive and release Miss Nikki’s Dance Academy, its instructors, and staff from any and all liability for injuries or illness incurred while participating in dance, tumble, cheer, or related activities. I understand that dance and physical activities carry certain risks. I give permission for my child to participate and authorize emergency medical care if I cannot be reached. I acknowledge full responsibility for any medical expenses incurred.

Miss Nikki’s Dance Academy
Non-Refundable Policy Agreement

This Agreement is entered into between Miss Nikki’s Dance Academy (“Studio”) and the Parent/Guardian (“Parent”) of the enrolled student (“Student”).

1. Registration Fees

All registration fees are non-refundable under any circumstances, including but not limited to withdrawal, dismissal, illness, injury, or schedule changes.

2. Tuition Payments

Monthly tuition payments are non-refundable once paid, regardless of attendance or participation.
Tuition holds a place in class and is due whether or not the Student attends.

3. Costume Fees and Recital Fees

Costume and recital fees are non-refundable once ordered or paid, even if the Student withdraws or is unable to participate in performances.

4. Private Lessons, Workshops, and Camps

Payments for private lessons, workshops, camps, and special events are non-refundable.
Any rescheduling is subject to Studio availability and discretion.

5. Missed Classes

Missed classes are non-refundable and no credits will be issued.
Make-up classes may be offered at the Studio’s discretion but are not guaranteed.

6. Dismissal from the Studio

If the Student is dismissed from the Studio due to behavioral issues, failure to follow studio policies, or non-payment, all fees paid are non-refundable.

7. Acts of God, Force Majeure, or Government Mandates

In the event of circumstances beyond the Studio’s control (including pandemics, natural disasters, or government-ordered closures), no refunds will be issued. The Studio will make reasonable efforts to provide virtual classes or alternative arrangements.

8. Acknowledgment and Agreement

By signing below, Parent acknowledges and agrees to the terms of this Non-Refundable Policy and understands that all fees paid to Miss Nikki’s Dance Academy are non-refundable.

______________________________________

Refund Policy Signature

Email

example@example.com

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Winter Registration Fee

REGISTRATION FEE DUE TODAY IMPORTANT INFORMATION: (First month Tuition due By January 1st) ($100 costume Deposit) January 1st

$40.00 Quantity

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