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Term 1 Registration Form
Lower School Registration Form

*All information required to complete registration

Please initial to notate acknowledgement and agreement.

Vitacca Ballet & School for Dance, Houston children's classes are open for viewing. Our school is a focused training environment; thus, we kindly ask parents not to overcrowd the school's waiting areas and stay mindful of noise levels within common areas.

Vitacca Ballet & School for Dance, Houston students wishing to participate in Vitacca performances may not take ballet, contemporary or modern lessons at other studios/schools.

Vitacca Ballet & School for Dance, Houston students may not participate in performances for another studio in which the student is performing Ballet, Contemporary or Modern.

All tuition and fees are non-refundable (includes paid full year tuition, and all other fees). (In the case of serious illness or injury, exceptions may be made at the discretion of the School.)

Withdrawal from the School must be made in writing 30 days prior to the last lesson attended. Tuition will be charged until 30 days after the written notice is received. (This does not apply to discounted pre-paid tuition. There are no refunds.)

Division training costs (tuition) are based on a 34-week season and divided into ten payments from August through May. Month-to-month registration is not allowed.

COVID-19 Release Statement- Vitacca Ballet & School for Dance (Vitacca Dance) has put in place heightened cleaning measures to reduce the spread of COVID-19. However, COVID-19 has been proven to be highly contagious and asymptomatic in some persons. Therefore, Vitacca Dance cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Vitacca Dance could increase your risk and your child(ren)’s risk of contracting Covid-19. By initialing, you acknowledge the contagious nature of Covid-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by Covid-19 by attending Vitacca School for Dance locations, and that such exposure or infection may result in personal injury, illness, permanent disability, and death

In consideration for receiving permission to participate in this class, performance, rehearsal, or any and all activities related thereto, including but not limited to travel between sites or locations ("Activities"), I hereby release, indemnify, and covenant not to sue Kelly Ann Vitacca, Vitacca Vocational School for Dance, Houston and any associates or employees thereof ("Releasees"), for any and all claims, costs and causes of action for property damage or personal injury, sustained by me while participating in Activities, whether arising from statute, code, ordinance, tort, common law or other source.

I acknowledge that Activities I will perform may be physically strenuous. I know of no physical or mental condition that would preclude or inhibit my full participation in Activities. I am fully aware of the risks and hazards involved with Activities, including but not limited to slips, trips, falls, breaks, heat stroke, heart attack, exhaustion, dehydration, and other related injuries. I choose to voluntarily participate in Activities with full knowledge that they may be hazardous to my property and me.

I understand that Releasees do not maintain any insurance policy covering any circumstance arising from my participation in Activities or any event related to that participation. I am aware and understand that I should obtain and review my personal insurance coverage. In signing this release, I acknowledge that I have read and understood the Release, that I am at least eighteen (18) years of age or my guardian is at least eighteen (18) years of age and fully competent.

In consideration of good and valuable considerations, the receipt of which is hereby acknowledged, I hereby grant to Vitacca Ballet & School for Dance, Houston, its nominees, designees, successors and assigns, or those for whom they are acting, the absolute right and permission to copyright, and/or use, and/or publish photographs/videos of my dancer in class or at performances, or in which I may be included in whole or in part, or composite, or distorted in character or form, in conjunction with my own or any other picture/video or reproductions thereof made at its studios or elsewhere, for art, advertising, business or trade, news reporting, social media, website, or any other lawful purpose.

I understand that all tuition and fees are NON-REFUNDABLE. I also understand make-ups for missed classes are based on availability. I understand a credit card must be on file for my dancer to participate in class.

I authorize Vitacca School for Dance to make charges to my account on the 15th of each month for the agreed tuition amounts written below and within my registration information or if paying by check, I authorize Vitacca Ballet & School for Dance to make charges to this account if payment is not otherwise received within three days of due date, including a $30 late fee will be applied to all declined payments.

• Creative Dance (age 3-4): $115.00 (per registered class, one class a week required)
• Pre-Ballet (age 5-6): $125 (per registered class, one class a week required)
• Primary (age 7-8): $125 (per registered class, one class a week required)
• Division A (8-9 with 1+ year prior training): $287 Required classes: (Dancers required to attend two ballet classes a week)
• Division A (age 8-9): $75 Add Conditioning
• Division A (age 8-9): $75 Add Jazz
• Registration Fee - Due at time of registration - $75 (dancer 1), $60 (dancer 2), $50 (dancer 3)

I understand that tuition payments are due by the 15th of each preceding month. I understand registration is only available through a one-time registration installment followed by auto-draft payments thereafter.

I hereby give my permission to Vitacca Ballet & School for Dance personnel to authorize any minor emergency medical treatment that may be required during Vitacca Ballet & School for Dance program including Intensives, Dance Class, Invite Class, Open Class, Rehearsals, Master Classes, and Performances. I understand that I am responsible for all charges because of such care and medical treatment.