Summer Evening Class Reg Form — Monona Academy of Dance

Medical Condition (if applicable)

Parent/Guardian 1 Email

Parent/Guardian 2 Email

Billing Email (if different)

How did you hear about us?

Questions/Comments

Please add any helpful information or questions here.

Statement of Understanding

I hereby acknowledge that I am responsible for payment of all tuition based upon payment option selected below. All families must maintain a valid credit card on file for incidentals and/or late scheduled payments. Failure to meet payment criteria will result in your dancer not being allowed to participate in class. I authorize Monona Academy of Dance to use my child's photo to promote or publicize the studio online or in print. I understand the physical demands and inherent risks involved in dance and guarantee the registered student to be in sound physical condition. I agree to hold Monona Academy of Dance LLC, its officers, agents and employees in both individual and official capacities, harmless from liability for injury, damage or loss to property or person as a result of participation in any Monona Academy of Dance LLC activities. I hereby agree that I will not send my dancer to class if they are exhibiting any COVID-19 or other flu like symptoms and/or severe cough. I acknowledge Monona Academy of Dance reserves the right to cancel any classes with inadequate enrollment. I have read, understand and will abide by the policies set forth in the Classes Tab of this website and by Monona Academy of Dance LLC. All policies are listed under the Classes Tab.