2021 BELLA Camp Registration
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Email *
Dancers Name *
Dancers Age *
Emergency Contact- Name and Phone Number *
Please select which camp you would like to register for. We look forward to welcoming you into our beautiful studio at 1955 Bridge Lane, Suite 1900 - Steamboat Dance and Fitness.             Limit of 10 students per camp, due to current COVID-19 regulations. June 21-25 and July 12-16 *
Required
Bella Dance Academy Waiver   WAIVER Student Waiver & Release of Liability I, as parent(s)/legal guardian(s) of the above listed student(s) knowingly assume all injury and risks as relating to any dance/tumbling/jumping silks activity sponsored by Bella Dance Academy, and Jamie Boeri. As parent or legal guardian, I consent to the above listed student(s) to participate in activities, classes, and programs by Bella Dance Academy. Upon enrolling, I agree not to file any claim procedure in connection with any operators, employees, and/or agents of Bella Dance Academy there of from any liability or personal injury occurred by my child while participating in any activities conducted by Bella Dance Academy. All photographs are property of Bella Dance Academy and are used strictly for promotional purposes. If you object to your child's photo being taken, please notify us as soon as possible. Student's supervision is limited to classroom time only. Please discuss with your child proper behavior and the importance of not leaving the building during class. Your child's safety is of the most importance to Bella Dance Academy. I understand the refunds and deductions are not given for missed lessons/classes. Make up lessons/classes may be scheduled. I understand other payments such as competition fees, performance fees, costumes and other payments will be paid on the date specified by Bella Dance Academy. In the event that any fees, payments or required dues are not paid on the specified due date, I shall pay all attorney's fees and reasonable court costs of collection. I understand that Bella Dance Academy does not give credit and/or refunds for class(es) missed due to holiday, vacation, illness, weather, etc. I further understand that there are specific risks of physical or property damages, losses, or injury that may result from my or my child’s participation with Bella Dance Academy, and I voluntarily assume the risks associated with such participation.I certify that I have read and will abide by the policies as stated in this form and I hereby release Bella Dance Academy, and Jamie Boeri and any teachers and/or assistants for any injury, damage and/or loss that may occur throughout the above listed dance season. Electronic Signature Agreement. By selecting the "I Accept" checkbox, I am signing this agreement electronically. I agree this electronic signature is the legal equivalent of my manual signature on this agreement. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms. We know this is a lot of info, but hopefully we answered all your questions. If not, please feel free to call, come by or email us! We will also keep our website updated Weekly! We look forward to a GREAT year! *
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