Season 8 Auto Pay Agreement Form

AUTO PAY AGREEMENT

Studio H Dance Company uses Auto-Pay to make paying as convenient as possible.

Dancers Name*

First NameLast Name

I have entered my preferred payment method into my Dance Studio-Pro account.*

Yes

I understand that this Auto-Pay agreement will be in effect until August 1, 2024.*

I agree

In the event that an account remains unpaid for 10 days, my dancer will not be able to participate in classes until the balance is paid in full. If an account reaches 90 days past due, my dancer will be dismissed from the team. This policy is in place to ensure the financial stability of the studio.*

I agree

I understand that I need to update my payment information online before my dancer will be eligible to participate in any Company activities.*

I Agree

I authorize Studio H Dance Company, LLC to charge my payment method on file for the amount of my full balance on the twentieth of each month.*

I Agree

I understand that I must have a valid payment method on file at all times.*

I Agree

I understand that in the event my payment method is declined, a $20.00 late fee will be assessed.*

I Agree

I understand that I will be notified promptly if my payment method is declined.*

I Agree

I understand that if I would like a copy of my account statement, I can message Miss Hayley on band to request one.*

I Agree

I understand that if I wish to pay my balance by way of cash or check, I can do so before the due date. If I do not make a payment before the due date, Auto Pay will continue and the payment will be withdrawn.*

I Agree

I understand that if my child wishes to drop a class or stop dancing all together, I must contact Miss Hayley directly two weeks in advance.*

I Agree

I understand that a 3% fee is applied to all Auto Pay transactions.*

I Agree

Account Holder Name*

First NameLast Name

Auto Pay Agreement Signature *

Date*

Date