Aim Studios/ Triple Threat Summer Camp Registration/ Agreement Form: Section 1. Student’s Name:______________________ D.O.B. ___/___/__ D.O.B. ___/___/___ Student’s Name:_______________________D.O.B.___/___/___ D.O.B. ___/___/___ Parent’s or legal guardian’s Names: _______________________________________ Street Address: ____________________________ City____________________ ZIP____________ Phone:_________________ Cell Phone: ______________ Work Phone: ___________________ Email: _____________________________________________ Emergency Contact :_______________________ Phone:__________________ Does the student have allergies or take medications? Yes or No If yes, please explain:________________________________________________________________________ ________________________________________________________________ Tuition Amount Enclosed:$______________ (NON-REFUNDABLE): Late Pick-up or Early Drop:__________________________________________ Referred by:___________________ T-Shirt Size: S M L XL____________ Student’s/Parent’s Dance Tuition Agreements and Terms: Parents and Students, for consideration of agreeing, stipulation, hereinafter mentioned, contained, to be kept by the parents. The Parents agrees to pay dance tuitions and take upon the terms and conditions which hereinafter appear called Dance Tuition Agreement. The dance tuitions and dance classes will take place hereinafter appear called ”Premises” to wit: Aim Studios 383-Marietta St Suite-B. Atlanta, Ga 30313.This Agreement is to have to hold for June 1, 2010 and ending July 16, 2010 and said term shall be referred to hereinafter as the Summer Dance Camp Agreement Period. There will be an ending performance and awards ceremony the week of June 16, 2010. Aim Studios will go on field trips on a Bi-weekly bases and participants are not required to participate. This Summer Dance Camp Tuition, by and between Brian Jones, First party, hereinafter called Executive Director, and Parents of the child or parties that agrees on upon signature of this agreement. Stipulations: Parents must pay Summer dance camp tuition on time weekly, bi-weekly and on Friday before the next week of camp. Monthly rates will be accepted. All forms of payments will be accepted. No period of grace, or right of set-off unless agreed by Executive Director. In case of late payment, early drop-off, and late pick-up, will result in a late fee charge! Students must report to camp in appropriate dress attire for Camp, including camp TShirts. Parents must provide their own uniform for the performance and camp. All Participants must bring a lunch and Aim Studios will provide a snack. There will be no make-up for missed days of camp! No unaccepted behavior at any time during camp. No Gum in class. All participants must abide by Aim Studios Schedule, unless agreed by Brian Jones. Schedule is subject to change due to low enrollment and/or skill level. Parents must notify Brian Jones of any allergies, illness, medication, or allergic to any kind of fruit, candy, chocolate etc.. Parents must address Brian Jones on issues surrounding Dance Tuitions, Aim Studios, and OnStage Performing Arts Alliance at any time of this agreement. Summer Dance Camp Disciplinary Procedures: *1st =Warning *2nd =Warning *3rd =Timeout *4th = Parents notified *5th = Parents discussion *6th = Parents discussion *7th= Withdrawal out of Summer Camp!!!!!!!!! I,___________________ have enrolled_______________ in a program of strenuous physical activity, offered by the Onstage Performing Arts Alliance. I, for myself, my heirs and assigns, hereby release OnStage Performing Arts Alliance, their families, employees, affiliated companies, or Aim Studios from any claims, demands and causes of action from my or the above named person’s participation in any of the above stated programs. I hereby releases OnStage Performing Arts Alliance for any liability now or in the future for any injuries or illness through participation in the above state programs offered at Aim Studios at any time, while in the vicinity, or activity sponsored, represented or organized by OnStage Performing Arts Alliance. I also understand that photos and videos may be taken throughout the year and there images may be published or used for advertising and promotional purposes by OnStage Performing arts Alliance, and its agents. I understand I will not be able to protest any such use or receive compensation of any type for use of these pictures. By signing, I hereby affirm that I have read and understand and agree to the above points and additionally agree that they will be executed beginning the day and year first above written agreement. ________________________________________________ PARTICIPANTS PARENTS/ OR LEGAL GUARDIAN Date: ____/____/____