EVOLUTION DANCE & PERFORMING ARTS
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2800 W. 84th St. #4, Hialeah, FL 33018    .    (305)828-0095
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REGISTRATION
Student Full Name:
Sibling Full Name:
Sibling Full Name:
Date of Birth:
Date of Birth:
Date of Birth:
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/Emergency Contact:
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Please advise us of any medical conditions that may affect the student’s participation: 
Have you completed your Free Trial Class(es)?
Classes student is registering for:
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Classes sibling is registering for:
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Classes sibling 2 is registering for:
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PARTICIPATION AGREEMENT

I have enrolled myself and/or my child(ren) in a program offered by EVOLUTION DPA, Inc. I hereby affirm that I am or the above-named person(s) are in good physical condition and do not suffer from any disability that would prevent or limit participation in this exercise, dance, or any other activities on the premises. I, for myself, my heirs and assigns, hereby release EVOLUTION DPA, Inc., the owners/directors, their families, employees, or the owner of 2800 W 84th St. Bay 3&4 Hialeah, FL 33018 from any claims, demands and causes of action arising from my or the above-named person's participation in any of the above stated program. I hereby release EVOLUTION DPA, Inc., the owners/directors, their families, employees, or the owner of 2800 W 84th St. Bay 3&4 Hialeah, FL 33018 from any liability now or in the future for any injuries participation in any other the above stated programs offered at EVOLUTION DPA, Inc. or at any time, while in the vicinity of the premises or in any activity sponsored, represented or organized by EVOLUTION DPA, Inc. I also understand that photos and videos may be taken throughout the year and these images may be published or used for advertising and promotional purposes by EVOLUTION DPA, Inc., 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. 

-I understand my Registration fee is due every anniversary month of my enrollment.
-I understand that a $10.00 late fee will be applied if tuition is not paid by the 14th of the month.
-I understand that if my payments are monthly, ONLY the absences that are emailed to emailevolution@yahoo.com OR texted 24 hours in advance* are subject to a free make-up class. If I wish to attend only half the month, the office must be notified by email 7 DAYS in ADVANCE in order to receive the half-month rate. 
-I understand there is no credit, makeups or discounts for holidays or Christmas break. The monthly rate is based off an annual fee. The options for payment are the standard monthly fee OR open-class-card. *December rates are discounted ONLY for students with packages (25% off).
-I understand that if I do not ask for a receipt when making payments in cash, there may be no proof of my payment. Therefore, checks are preferred. Payments made by credit/debit card are subject to the full rate (3-4% additional)

By submitting this form, I hereby affirm that I have read, fully understand & agree with the above waiver.