Inspired Dance Registration Form

NEW STUDENT/Family Registration Form
2020-2021 Season

Please submit registration form with $11 online Registration Fee per family.
This Fee is renewed Annually (Sept-May)

Pay $11 Registration Fee

Pay Monthly Tuition

* Indicates required field

Dancer Name *

First

Last

Age *

School Child Attends- if applicable *

Dance Class Enrolling In *

Class Day(s) and Time *

Choose Class Location *

List other Classes + Day and Time *

*Friend's Name or Specify Other *

Additional Siblings: Child's Name & Age, Dance Class: Day,Time, & Location. (Do NOT need to fill out a separate form/this counts) *

Parent Name *

First

Last

Email *

Cell Number *

Are you Interested in Auto Pay *

Yes No Need More Info

IF YES, Provide day of month (1-15) transaction to take place and session length. *

* Must pay online registration fee to ENABLE AUTO PAY.

COVID Game Plan

*We will continue as we have been functioning since May, June, July: ask dancers to wash hands, Provide sanitizer for dancers and frequently clean touched surfaces. We will continue to use an Air diffuser with essential oils for the classrooms which help purify the air.

*It is recommended that each family seek to fortify and boost their own immune system before cold and flu season start, practice good hygiene, stay physically active and healthy, and educate themselves on how to boost their immune system. Vit. C, D, and Zinc are very helpful. Take multivitamins, incorporate Ginger, honey, lemon, elderberries, cinnamon, clove, oregano, peppermint, melaleuca, hydrogen peroxide, and colloidal or sovereign silver into your home medicines. There are lots more. This is just some of the things I know about or personally use. Is there a mom or two who could help me put info together and create a blog on my website...with recipes and links... ????

*It is expected that each family use good judgement as to whether your child should comes to class or not. Take temperature if unsure. Don't come if they have a consistent and/or yucky cough, has a runny nose and is sneezing a lot....(not b/c of allergies). Stay home if you have any cold like symptoms in your chest, sore throat, lack of taste and smell, or are achy or tired.

*Dancers need to keep a bandanna and/or mask in their dance bag during cold season, this way they can cough into that, or if a teacher feels it is necessary to have a dancer or dancer(s) wear it, they can easily grab it form their bag. Otherwise, Dancers are free to choose to wear a mask or not. Wearing a masks while dancing psychologically stresses me out, makes me feel claustrophobic and builds anxiety for multiple reasons. I know that there are other dancers and teachers in this same predicament. Therefore I feel it is best to let you do you and be you, knowing that we all are doing our best to be cautious and careful.

*Classes will run each week as planned. If there is a major concern or outbreak that threatens our dancers, we will do our best to quickly transition to an online class (check your email regularly) and then resume back to the studio as quickly as possible.

*If a class member or their family member has covid and can't come to class, we will hold an online class or provide a video(s) for that dancer. Communication will be key so I know to make this available to you.

*In other words, we will do our best to adjust to the needs of the situation.

*Summer has been a testament to me that the physical activity and friendship we gain from dance is needed and wanted! It has been a healthy benefit

*I will always do my best to communicate with you and make prayerful decisions in behalf of our dance families.

*Please keep Inspired Dance in your prayers, that our dancers and their families will be protected from this virus and that our classes will be a safe place. Also continue to pray for relief from this covid pandemic. We must not give up or loose heart….even though I know I have struggled with this very thing…..

*I welcome input and suggestions, question, and concerns. I respect opinions.. and understand that not everything is a perfect match.

*I hope me communicating my thoughts helps us move forward with a common goal and feel like we're on the same page. Over the past few months, I have felt a wonderful sense of love, respect and desire to protect each other. Thank you for your help in making our classes fun, safe, and a wholesome place to be.

Sincerely,
Amy 😊

I have read the above info about COVID *

YES

Payment Policy

Payment for ALL Inspired Dance classes is due on or BEFORE the first day of class each month.

1. Payments received after the 15th of each month will incur a $12 late fee.  To avoid $12 late fee, Parents MUST communicate payment needs/concerns so we can work with you.

2. Parent MUST communicate dancer's intent to withdraw. Parent is still responsible for that months payment. Withdrawing early in the semester/season will result in a cancellation fee. Upon communication, a cancellation fee will be set and monthly payment will end.

3. Reminder: Once you agree to join, Monthly and registration fees apply.  Payment is non-refundable.

I agree to class semester or season *

Yes

I acknowledge that I understand and agree to the penalties for early withdrawal &/or Late Payments *

Yes

Type Guardian Full Name HERE for Payment Policy *

Waiver Form

Please read the following and sign your name below, verifying that you have read and do agree to the following. In the event there is an emergency, we will call legal guardians first. If we can't get a hold of a parent or guardian then further action will be taken.

Medical Consent: In the event of injury, Inspired Dance will call the parent/guardian first. If the guardian is unreachable, I hereby authorize the program officials of Inspired Dance and all other cooperating agencies, employees, officials, or managers thereof to arrange for medical services as may be deemed reasonable and necessary to the welfare of the injured, and I do hereby release Inspired Dance and their employees and all others involved with the activity from all liability in taking such action, including all action which may be contrary to personal and/or religious beliefs. I, the undersigned, have read this Release and Consent to medical treatment & understand all its terms. I execute it voluntarily and with full knowledge of its significance.

Liability Release: I do hereby agree to release Inspired Dance and West Ada Schools, Shine Fitness, Evergreen Health Clinics, and all other cooperating agencies, employees, officials, or managers thereof from all liability for damages by reason of injuries or property damages that may be sustained as a result of participation in this program.

Photo/Video Release: I, the undersigned, hereby give Inspired Dance, its agents, and/or assignee permission to use the photographs, motion pictures or any reproductions of the physical likeness to use for website, social media or flyers to help promote inspired dance and show what makes us unique. Use of any material will be done in an appropriate manner.
I relinquish all rights, title, and interest I may have in the finished pictures, negatives, and copies. I waive the right of prior approval and hereby release Inspired Dance, its agents, and/or assignee from any and all claims from damages of any and all kinds based on the use of said material. I hereby warrant that I am a parent or legal guardian of the subject of photography, who is under eighteen years of age, and am competent to act in his/her behalf insofar as the above is concerned.
(Names are never shared or made public. This is mainly for possible website pictures, flyers, or announcements about upcoming events, classes...etc.)

Type Guardian Full Name HERE for Medical, Liability, Photo Release *

Date (effective to the end of the following year of above date). *

Preferred Method of Communication

I Prefer to Receive an *

Email Text

Questions/Comments/Concerns *

Submit

Thank you for Enrolling your dancer with us! We value your business and appreciate your support.

Kind Regards,
Amy Merrill
inspireddance@gmail.com
208.353.5581

NEW STUDENT/Family Registration Form 2020-2021 Season ​

NEW STUDENT/Family Registration Form
2020-2021 Season