Enrollment & Waiver Form

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Enrollment & Waiver
MEADOWLAKE PARK: Enrollment & Waiver Instructions:
1. Let It Out Performing Arts QUICK ENROLLMENT (click below) https://form.jotform.com/222030304941037
or Complete the Let It Out Performing Arts (LIOPA) Enrollment & Waiver form below:
2. Pay the one-time $25 Enrollment Fee via cash app (click underline link) $letitout or PayPal @ [email protected]
3. Go to Richland County Recreation Commission (RCRC) website @ https://richlandsc.myrec.com/info/default.aspx
to register for Let It Out Performing Arts Classes.
4. Pay the Class Tuition after registering
(Note: Monthly Tuition is to be paid through the RCRC Web Page If you have any questions, contact Ms. Melissa at 803.240.3360 or email at [email protected])
ST. JOHN PREPARATORY SCHOOL & V.V. REID: Enrollment & Waiver Instructions:
1. QUICK ENROLLMENT (click below) https://form.jotform.com/222030304941037 or
Complete the Enrollment & Waiver form (BELOW). Ensure to choose the correct dance location
2. CLICK HERE to pay monthly Dance Tuition
If you have any questions, contact Melissa at 803.240.3360 or email at [email protected]

Parent Name*

Student Name*

Mailing Address*

Contact Number*

Email Address*

Student Date of Birth*

Student Age*

Emergency Contact Name*

Emergency Contact Number*

Attire/Clothing Size*

General Health

***Medical History*** Does your child have any medical conditions that would prevent her/him from engaging in the Cheer & Dance program and/or would make their participation potentially dangerous or her/him to

If yes to the above question, please provide any medical conditions/information we need to be aware of (to include medications).

Class Location*

V.V. REID (Tots Ballet Ages 2-3 & Blossom Ballet (ages 4-6)

SAINT JOHN PREPARATORY SCHOOL ONLY: Tots Ballet (ages 2-3) or Blossom Ballet (ages 4-5)

MEADOWLAKE PARK CLASSES ONLY: Choose the Class(es) below for Enrollment

I would like to Choose a 2nd Class to Enroll @ MEADOWLAKE PARK

I would like to Choose a 3RD Class to Enroll @ MEADOWLAKE PARK

How did you hear about us?*

If you selected "Referred By" or "Other" from above, Type in the Referred Person Name, etc...

COVID-19 Waiver & WAIVER OF LIABILITY: THIS IS A RELEASE OF CLAIMS AND BY SIGNING IT YOU DO THE FOLLOWING: Please read this form carefully. I acknowledge the contagious nature of the Coronavirus (COVID-19) and that the CDC and many other public health authorities still recommend practicing social distancing and wearing a face covering. I further acknowledge that Let It Out Performing Arts has put in place preventative measures to reduce the spread of the Coronavirus (COVID-19). I further acknowledge that Let It Out Performing Arts cannot guarantee that I will not become infected with the Coronavirus (COVID-19). I understand that the risk of becoming exposed to and/or infected by the Coronavirus (COVID-19) may result from the actions, omissions, or negligence of myself, my child, and others, including, but not limited to instructors/staff, volunteers, and other participants. I voluntarily seek to attend/participate in the Classes, Activities, Events, Fundraisers, Recitals/Concerts run by Let It Out Performing Arts and acknowledge that I am increasing my risk to exposure to the Coronavirus (COVID-19). I acknowledge that I must comply with all set procedures to reduce the spread while attending/participating. This liability waiver and release extends to the organization together with all directors, instructors/staff, and volunteers. In registering and participating in LIOPA programs, you are expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you might sustain as a result of participating in any and all cheer & dance programs provided. I assume the risk of and release and hold Let It Out Performing Arts harmless from any liability for any physical or other injury or harm suffered during, or as a consequence of, participation in the Cheer & Dance programs and/or performances. I agree that neither Let It Out Performing Arts, nor any other person(s) involved in organizing or conducting the cheer & dance program shall have any liability or responsibility for any such injury or harm. I understand photographs, video recording, and/or audio recordings of my child’s participation in the cheer & dance program may be used by Let It Out Performing Arts to be published and/or posted on the company’s booklets, flyers, social media, & LIOPA website. Photographs will also used to promote the Cheer & Dance LIOPA’s events concerts, and productions without compensation and without additional approval. I HAVE CAREFULLY READ AND UNDERSTAND THE ABOVE. BY ELECTRONICALLY SIGNING THIS DOCUMENT, I AGREE TO THESE CONDITIONS.* **

Electronically Sign

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