Cosmopolitan Dance Theatre & P.A.C.
Student Registration Form
  • Select the class that you wish to enroll in for the season. After enrolled you will receive your official invoice for tuition payment. Tuition is paid online. All dance classes have a $95/year annual registration fee. All performance classes have a $35 recital participation fee and costumes cost $70-$85/costume. All fees except registration and monthly tuition can be paid out on a payment plan over time. Students must wear official Cosmo Class Uniform during class. Contact 817.443.8591 if you have any problems or questions about enrolling in your desired class.
  • Select the class that you wish to enroll in for the season. After enrolled you will receive your official invoice for tuition payment. Tuition is paid online. All dance classes have an annual registration fee. All performance classes have a semesterly $35 recital participation fee and costumes cost $70-$85/costume. All fees except registration and monthly tuition can be paid out on a payment plan over time. Students are required to wear only the official Cosmo Class Uniform. Contact 817.443.8591 if you have any problems or questions about enrolling in your desired class.
  • Parent Release Form for Photography and Videography;
    I, the undersigned, give permission for COSMOPOLITAN DANCE THEATRE & P.A.C. to use video footage and / or photographs of my child/ward, _________________________________. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child or myself for use in materials that include, but may not be limited to:
    - printed materials (eg - brochures and newsletters) - online and offline advertising and promotion - videos and digital images such for use on Social Media.
    By signing this form, I acknowledge that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by COSMOPOLITAN DANCE THEATRE & P.A.C. for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images.
    Parent/Guardian signature __________________________________________ Date _________________________
    Health Information and Medical Release/Waiver Form
    I, _______________________, the parent/guardian of ___________________________, acknowledge that participation in fine arts is potentially dangerous and the is an inherent risk of injury involved.
    In allowing my child to participate in COSMOPOLITAN DANCE THEATRE & P.A.C. activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release COSMOPOLITAN DANCE THEATRE & P.A.C., its staff, and the facility owners/operators of any and all liability which may arise as a result of my child’s participation in activities at COSMOPOLITAN DANCE THEATRE & P.A.C.
    General Policies Acceptance:
    I acknowledge that I will read and comply with studio policies at all times. I am now aware that no fees are ever refundable under any circumstances and that tuition is due by the 3rd of each month. I also realize that space in class is not reserved until my tuition and registration fee is received on https://squareup.com/market/cosmopolitan-dance-theatre-and-pac In case of an emergency situation it is understood that every effort will be made to contact the individuals listed on this form. I also give consent for emergency medical staff to be contacted to treat myself or my child. I acknowledge that I have enrolled in a program that may include strenuous physical activity offered by Cosmopolitan Dance Theatre & P.A.C. I for myself, my heirs, and assigns hereby release Cosmopolitan Dance Theatre & P.A.C, its staff, all employees, the owners, and facility operators from any claims or demands of causes of action from myself or the listed enrolled person participating in any program offered by Cosmopolitan Dance Theatre & P.A.C. or at any time, while under the direction or supervision of Cosmopolitan Dance Theatre & P.A.C. at an event. __I do hereby waive all claims, release, indemnify, defend and hold harmless Cosmopolitan Dance Theatre & P.A.C., the City of White Settlement, Corsicana Tumbling Academy and all of its officials, agents, officers, and employees in both their public and private capacities from any and all liability claims, suits, demands, expenses of litigation or cause of action which may arise by reason of injury to persons,damage to or loss of use to any property occasioned by error, omission of negligent act of said minor child or any third party with regard to this this agreement, and I will at my own cost and expense, defend and protect the City of White Settlement, Corsicana Tumbling Academy against any and all such claims and demands. It is further agreed hat the execution of this Waiver of Liability, Release, Imdemnification and Hold Harmless Agreement will not constitute a waiver by the City of White Settlement, or Corsicana Tumbling Academy of defense of governmental immunity, where applicable, or any other defense recognized at law or equity. Additionally, it is understood that photos and videos may be taken throughout the year and these images may be published or used for advertising and promotional purpose by Cosmopolitan Dance Theatre & P.A.C. and it agents by accepting these terms, I hereby affirm that I have read and fully understand and agree with the above waiver and have read and fully understand company/studio policies and understand that Cosmopolitan Dance Theatre & P.A.C. is in no way liable or to be held financially liable for an injury incurred no matter the level of severity.
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