Dance Registration

Our Fall Dance Registration for 2017-2018 is now open

Please fill out our form below to register. 
Upon submitting your form, you will be contacted by our Dance With Energy Director, Elizabeth Jernigan.
If you wish to view our registration packet, please click here.

 

Please be aware only one credit/ debit card or checking account can be put on file. The same payment method used for WC Membership dues must be used for monthly dance tuition.  

PAYMENT PLAN information:  By signing this agreement you have authorized Weymouth Club to debit your chosen method of payment every month until the ‘LAST Payment Date’ listed above.  YOUR BANK ACCOUNT or CREDIT or DEBIT will continue to be charged until all of your payments have been made.  If Weymouth Club is unable to collect your monthly payments for any reason they may double bill your account the following month PLUS add an administrative charge of $20 without any further notice to you if your monthly dues are delinquent for two or more months.  Management reserves the right to forward all delinquent accounts to a collections agency.  A 30 day written notice is required to change monthly billing information. Dance with Energy payments are non-refundable, non-transferable. I fully understand the terms of this agreement and promise to fulfill this commitment.  I understand that it is my responsibility to review my monthly statements for accuracy of payments.  I agree to all of the policies and the terms of the agreement. 

 

Participation Waiver

I hereby represent to Weymouth Club, it’s affiliated, shareholders, partners, officers, agents, servants, employees, and representatives (collectively Weymouth Club) that I am in good physical condition and am able to safely participate in Energy Center Programming at the Weymouth Club.  I acknowledge that Weymouth Club urges every participant to have a medical check-up before participating in any Weymouth Club programs.  I appreciate the danger of physical stress, strain or injury and assume whatever risk is involved as a result of my use of the facilities, equipment, or services of the Weymouth Club. I hereby release and hold Weymouth Club harmless from and against any and all claims, liability, loss, damage, or injury sustained or incurred in connection with my use of the facilities, equipment, or services of the Weymouth Club, and waive any and all claims against Weymouth Club from any damage or liability resulting from or in the connection with such use, excepting such damage which may be caused by Weymouth Club negligence. I hereby grant Weymouth Club consent and permission to use my name, portrait, image, statements and comments and to copyright, use and publish the same in whole or in part, in any media for purposes relating to the business and activities of the Weymouth club, including trade or advertising. I hereby release and discharge Weymouth Club from any claims or demands arising out of or in connection with such uses, including but not limited to any and all claims for libel or invasion of privacy. I understand and agree that the program is not a therapy program, nor should it substitute for medical treatment.  This release, waiver and consent shall be binding upon me and my heirs, legal representatives and assigns.

Fall Dance Registration 2017-2018

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