Mississauga Ballet Association Waiver 2021-2022

The undersigned hereby agrees to release and indemnify the MISSISSAUGA BALLET ASSOCIATION (MBA), its employees and volunteers from any claims or lawsuits arising from injuries or accidents incurred by the applicant while participating in the dance class(es) at the Living Arts Centre, 4141 Living Arts Drive, Mississauga, Ontario.

The undersigned acknowledges that the information collected on these registration forms may be used for the following purposes: to prepare classes or group lists, collecting / processing payments, to contact parents and guardians in case of emergency or for matters related to MBA, mailing any / all information to participants and parents, for the creation and distribution of observation schedules, and for the co-ordination of volunteers for MBA-related activities. The undersigned consents to the collection and use of this information by the MISSISSAUGA BALLET ASSOCIATION. This information will NOT be released to any other organization without the written permission of the undersigned.

The undersigned hereby agrees that the MISSISSAUGA BALLET ASSOCIATION cannot be held responsible for any items that a student brings to the facility.  It is strongly recommended that students bring no valuables to classes.


The MBA requests a written letter indicating the reason for withdrawal from the school. If a participant withdraws after the fee is paid, but before the first class, a $25.00 administration fee will be charged. If a participant withdraws before half of the classes in a session are completed, half of the fees will be returned. No refunds will be given for withdrawals in the second half of a session.

  • NSF CHEQUES: Parents/Guardians will be responsible for a $30.00 NSF charge.

I have read the above waiver and withdrawal/refund policy.
agree to the terms and conditions.
certify that am authorized to sign this release without the consent of any other person.