DANCER'S INFORMATION

Please fill out one form per dancer. If there are multiple dancer's in your family, please ensure the primary parent information is the same so you are only charged for ONE registration fee per family.

PRIMARY PARENT/GUARDIAN'S INFORMATION

EMERGENCY CONTACT INFORMATION

TUITION INFORMATION

The spring semester begins after we get back from holiday break. The first day of the spring semester is Monday, January 6th.

$30 registration fee per family (plus tax)

1-hour class: $525 (plus tax)

45-min class: $470 (plus tax)

WHAT’S INCLUDED:

Weekly dance classes from 1/6/25 through 5/12/25

Studio T-Shirt

Recital Costume Fee (valued at $50-100!)

Participation in Spring Recital

NOTE: If the class you are trying to register for is full, you will be added to the waitlist. You will not be charged unless a spot opens up. You will be contacted to confirm whether or not you would still like to register for the class should a spot open.

PICK YOUR DANCER'S CLASSES

PAYMENT INFORMATION

Payment will be charged after review of this registration form. Only $30 registration fee will be charged (unless you choose option to pay in full today).

Tuition is DUE IN FULL by December 15th.

WAIVER & RELEASE OF LIABILITY

In consideration of the risk of injury associated with participating in dance (the "Activity") and my desire to participate, I voluntarily enter into this Waiver and Release of Liability. I waive any rights, claims, or causes of action arising from my participation in the Activity.

I release Maddie's Dance Studio LLC and Sportsplex Stamford LLC, located at 49 Brown House Rd, Stamford, CT 06902, along with their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors, and assigns (collectively, "Releasees"), from any liability for physical or psychological injury resulting from my participation.

I understand and accept the risks of the Activity, which may include physical or psychological injury, pain, suffering, illness, disfigurement, disability (including paralysis), economic or emotional loss, and death. These risks may arise from my own or others' negligence, travel conditions, or conditions at the Activity location. I assume all related risks, known and unknown.

I agree to indemnify and hold harmless the Releasees against any claims or actions, including legal fees, related to my participation. I acknowledge that Releasees are not responsible for any errors or omissions by those conducting the Activity. I authorize Maddie's Dance Studio LLC and Sportsplex Stamford LLC to provide emergency medical care if needed and agree to cover all associated costs. I understand I should have my own health insurance.

I acknowledge that the Activity may involve physical and mental challenges with potential for serious injury or death. I will participate only if I am medically able and properly trained and will follow the decision of the Activity officials regarding my participation.

I have read and understand this Waiver and Release of Liability and agree to release Maddie's Dance Studio LLC and Sportsplex Stamford LLC and their affiliates from all claims, including those arising from ordinary negligence. This Release is governed by Connecticut law and supersedes any prior agreements. I agree to be liable for any damage to equipment or facilities resulting from willful actions or negligence.

This Waiver and Release remains in effect for the duration of my participation. The agreement is made voluntarily and will be interpreted as written. If any part is deemed invalid, the remaining provisions will remain in effect, and invalid provisions will be enforced as limited.

I affirm that I am 18 years or older and am signing this agreement freely, having read and understood its content.

Parent/Guardian Waiver for Minors

If the participant is under 18, a parent or guardian must sign:

I certify that I am the parent or guardian of the registrant and give my consent for their participation without reservation.