Returning Dancer/Family Registration Form
 2021-2022 Season ​

Please submit registration form with  $20 online Registration Fee per family.

 Payment can be made cash, check, online, or venmo: @Amy-Merrill-Inspired Dance

This Fee is renewed Annually (Sept-May).

Classes Start Aug 30th, 2021.
    * If you check yes, you Must make an online payment such as registration fee to ENABLE AUTO PAY. Once you make a payment, then I can set you up on my end on the date you mention below. Automatic payment will last only for the session enrolled in.   ​
    Payment Policy
     Please REMEMBER:

    ​1. Payment is due on or before the first day of class each month.

    2.. 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. 

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