I here by authorize Dance Discovery Inc. of Canada, or its successors, assignees or transferees, to draw on my account with my financial institution, for the purpose of paying the lesson and costume fee installments issued by Dance Discovery Inc of Canada or its successors, assignees or transferees, or of any replacement policy, any applicable charges and any applicable sales tax. Lesson installments are scheduled for the first of the month from September 2020 to June 2021. Your costume installment is scheduled for October 15, 2020 . I authorize Dance Discovery Inc. to collect, use and disclose any of this personal information, subject to the law, for the purposes of facilitating the payment of lesson and costume fees related to my account. I confirm that all individuals whose personal information is contained in the document have authorized that I agree to the above on their behalf. *