Registration

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Miss Libby's... begin here, go anywhere! Please fill out the information below. Please select a class & enter your credit card for your registration to be accepted.

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
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Additional Info

Click on any class with the "Blue" registration link to the side. If a class is full please add your name to the waitlist. When a position becomes available we will contact those who are on the waitlist. If enough students are on the waitlist we may open up another class. For classes that require evaluation please sign up/inquire at the front office.

Enroll in Classes
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Required Policies and Agreements
By signing this document, I acknowledge that I am aware of certain risks of participating
in public events due to the COVID-19 pandemic, and that I am choosing to enter the
business listed below.

MY UNDERSTANDING . I understand that by leaving my home, I am exposing myself to a greater risk of becoming infected with coronavirus, or of infecting other people.

MY PROMISE . In order to do my part to not spread this deadly virus, I agree to not enter
Miss Libby's locations and to return home if (a) I have a temperature of 100.4 degrees or above, (b)
Miss Libby's medically trained professional determines that I may not safely enter the building, or (c) there is reason to believe I carry the coronavirus despite the current absence of symptoms. If I enter the venue, I agree to strictly follow all health and safety rules the venue has posted, which are designed to protect patrons, workers, and performers.

MY EXPECTATION . I am choosing to enter Miss Libby's business locations in reliance on the staff
taking reasonable measures to protect the health and safety of all patrons, workers, and
performers. By entering Miss Libby's locations, I am not assuming all risk of contracting COVID-19,
only the risk that cannot be avoided despite the venue's efforts to maintain reasonable
health and safety under current circumstances.

I, we, despite all reasonable precautions, maintenance, training etc. implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in the programs or activities. I (we) knowingly and willingly assume all such risks. Consequently, I (we) hereby for myself, heirs, executors and administrators, do waive and release any and all rights and claims for damages against the owner, operators, coaches and other members of Miss Libby's School of Dance & Gymnastics (the releasees) from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of Miss Libby's School of Dance & Gymnastics

I, the minor's parent and/or legal guardian, understand the nature of these activities and the minor's experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee's from all liability claims, demands, losses, or damages on the minor's account , including unsuccessful or Ill-fated rescue operations. I further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the releasees named above, I will indemnify, save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim.

Submitting this form means that you accept the following: "I hereby enroll myself or my child at Miss Libby's School of Dance and Gymnastics and agree to follow all policies including tuition payment, dress codes, and other rules and regulations as stated in our policies and procedures, brochures or website. Please make sure to review all information regarding fees and due dates under the "policies" tab on Miss Libby's website. I understand that all tuition, costume, and registration payments are nonrefundable and agree to pay any late fees ($15.00) or service charges ($25.00) for any returned checks." "I understand that account balances must be current( including all monthly tuition and fees) in order to receive my child's dance costume, gym leotard and recital tickets."

I hereby authorize Miss Libby's School of Dance, LLC to publish the photographs and videos taken of me and/or the undersigned minor children, and our names, for use in the Miss Libby's School of Dance, LLC printed publications, social media, website and/or for training purposes. I release Miss Libby's School of Dance, LLC from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the child(ren) listed on this form and that I have the authority to authorize Miss Libby's School of Dance, LLC to use these photographs, videos, and names. I acknowledge that since participation in publications and websites produced by Miss Libby's School of Dance, LLC is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Miss Libby's School of Dance, LLC confers no rights of ownership whatsoever. I release Miss Libby's School of Dance, LLC, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

All accounts 30 days past due will be charged the past due balance. A $15 per month late fee will be applied to accounts carrying a balance beyond 15 days from the date of any fee. The account will be placed on hold if payment arrangements cannot be made within the 30 day grace period. It is understood that should your account hold a balance past 30 days any credit card on file can be charged for the balance due. We will make every effort to communicate with you about your balance. Accounts with any past due balance will not be permitted to receive a dance costume, gym leotard or recital tickets until past due balance is paid in full. Accounts that become inactive will have 30 days to pay any and all of the balance remaining on their account. After 30 days the contact information for the account including phone numbers, email addresses and mailing addresses will be turned over to a collection agency for the purpose of collecting the past due balance on the account. By clicking "I Agree" you understand and accept this policy.

By clicking "submit the registration information" your credit card will not be charged for tuition. Your account will be reviewed for discounts & correct information. Once your account is reviewed and confirmed the credit card provided will be permanently added to your account and charged the non-refundable registration fee of $40 for a family of 2 students or less and $10 for each additional child. There is no registration fee for summer classes.
We offer automatic draft on the 1st of each month for your convenience. Please let the front office staff know if you wish to enroll in the automatic draft payment option.

I Agree to All of the Above
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