Dubuque Dance Studio and Gymnastics Club
Registration Agreement and Release

(For all summer classes (June - August), there is no registration fee.  There is also no monthly tuition.  For summer
tuition is paid in full at the time of registration.)

PHOTOS: We reserve the right to video tape and take pictures for training purposes and advertisement.

REGISTRATION FEE: Our standard session runs with the school year, September thru May. There is an annual
Registration Fee of $15.00 due at registration, $20.00 for a family.  These are NON REFUNDABLE fees, mandatory
fees due when you return this form and/or register / show up for class.

CLASS SCHEDULING AND FEE PAYMENT: Class payment is due before the 1st of the month. If tuition is not paid
before the 1st a mandatory late fee of $3.00 is applied to the account. When a student is registered, or begins
classes, you are assigned a class for the entire term.  Our class session runs from September through May. If
during that time you decide to stop taking lessons, we must be notified two weeks in advance, before the 1st of the
month.  It is mandatory that you hand in a two week written notice to our office when discontinuing class (email is
acceptable).  If you are on one of our teams (dance company, dance competition, tumbling team and/or gymnastics
team), it is a 30 day notice in writing.  Please note team is a year around activity and commitment - notice must be
given or you are registered for the next session.  Charges will continue on all accounts until the notice is received in
our office.  You are fully responsible for all charges during this time, NO EXCEPTIONS.  Monthly, seasonal lessons
paid are NOT REFUNDED for any reason.  When signing up for summer and special sessions, if you are unable to
attend, fees cannot be refunded.  If you are absent from a lesson, you may make it up within 30 days by calling
ahead to reserve a place in an appropriate class that has available space. If make-up times are not available, you
forfeit your class. Students are not able to make up classes after their session is over, the student must be an active
member, and paying for the month (session) in which the make up class is taking place.  Registration for events,
competitions, meets may not be paid for if you have an outstanding balance on your account.  
All members who register or attend classes agree to comply with all studio and club policies
as outlined in our brochure, on this form and verbally presented.

I release Dubuque Dance Studio and Gymnastics Club, its directors and staff from any and all responsibilities due
to accident or injury sustained in/at/around/acquainted with Dubuque Dance Studio and Gymnastics Club. I am
aware that in gymnastics and dance, as in any sport involving height and motion, the possibility of serious injury,
paralysis and even death is present. The child/children above have my full consent to participate in the program. I/we
give permission for a DDS&G representative to administer bandages/Tylenol etc, to transport when needed and
place my child in their care when traveling. In the event of an emergency I/we give DDS&G, its coaches or staff
permission to obtain and sign for medical treatment.

This release is printed, with your registration / payment and kept on file, please do the same for yourself.
For Sept - May term; tuition is deducted from the card (credit or debit) you will use to register.  
Tuition is taken out the last working day of the month (Aug - April).
For summer full tuition is paid at registration unless you request otherwise.


Summer 2012

September 2012 - May 2013 School Year Term