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Registration is required before a student can attends class. 

Hill Dance Academy Theatre
Registration Form

Student Information
Parent | Guardian 1 Information
Emergency Contact
(Must not be a parent or guardian listed above)
Media Release

Hill Dance Academy Theatre takes photographs and videos of participants enrolled in academy classes, participants taking master classes, and participants attending events and performances while in our facility. The photographs and videos taken are all for Hill Dance Academy Theatre promotion, publications, flyers, publicity, brochures, website use, other electronic communications, or video usage. All photographs and videos are for Hill Dance Academy Theatre’s use and become the sole property of Hill Dance Academy Theatre. Please contact the Executive Director, for any exclusions.

Media Release
Release of Liability

I, on behalf of myself and Student, and for Student’s, executors, and administrators, do hereby exempt, release, and forever discharge and not sue, Hill Dance Academy Theatre (HDAT) and its directors, officers, agents, employees, and instructors, hereby waive any and all claims which may occur from any cause whatsoever during or arising from Student’s participation at Hill Dance Academy Theatre (HDAT) including any injury to Student or Student’s guests or damage to Student’s property or Student’s guests’ property. HDAT shall not be responsible for and specifically disclaims any liability to Student for any loss, theft, injury, or liability incurred at HDAT.

Personal Liability Waiver

I understand some of the activities engaged in at the Academy are physically strenuous and only students who are medically able to participate should do so. Regardless of the cause, the student (or parents or guardian) assumes full responsibility for all risks of accident and personal injury that may result from participation in Academy activities. The Academy assumes no responsibility or liability with respect to the student's injuries which are sustained as the result of deficiencies in the student's physical health. Hill Dance Academy Theatre Faculty and Staff reserves the right to dismiss or otherwise discipline any person whose behavior is not acceptable or endangers the safety of themselves or others. Unacceptable behavior includes verbal harassment, physical assault or sexual abuse, and the use or possession of alcohol. The use, purchase or sale of any illegal substances at the Academy is strictly forbidden and will not be tolerated. If anyone is involved in any activity associated with these substances or devices, the appropriate law enforcement agency will be contacted to deal with the situation. No refunds will be made in the event of such disciplinary action. Costs incurred by the Hill Dance Academy Theatre in a disciplinary action will be the responsibility of the participant, Parent or Guardian.

Payment Refund Waiver
COVID-19 Liability Waiver (Please check all)

I hereby release and agree to hold Hill Dance Academy Theatre harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the dance academy, or that may otherwise arise in any way in connection with any services received from Hill Dance Academy Theatre. I understand that this release discharges Hill Dance Academy Theatre from any liability or claim that I, my heirs, or any personal representatives may have against the dance academy with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Hill Dance Academy Theatre. This liability waiver and release extends to the dance academy together with all owners, partners, and employees.

Hold Harmless Waiver
Payment and Tuition Plans
(The following section outlines Hill Dance Academy Theatre's automatic payment system and payment structure)
Financial Regulations (please check each box after you have read the form to show that you understand)
Withdrawal and Dismissal (please check each box after you have read the form to show that you understand and agree)
Parent Consent
Please Read Carefully

Thanks for registering to our event. See you there!

Parent | Guardian 2 Information
(If information is not available, leave this section blank)
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