MOVE Registration Form
*Required
Sign in to Google to save your progress. Learn more
Name of Student & age *
Birthdate *
MM
/
DD
/
YYYY
Parent's name & cell number *
Email *
Mailing address *
For which location are you enrolling? PLEASE NOTE: SOME OF OUR CLASSES ARE FULL. PLEASE CONTACT CELESTE TO CONFIRM CLASS HAS AVAILABILITY. *
Required
Please view the schedule & enter below the class you are enrolling in. (Example: Monday 3:15 class)If you are unsure of which class, please note below and we will contact you with options. PLEASE NOTE: SOME OF OUR CLASSES ARE FULL. PLEASE CONTACT CELESTE TO CONFIRM AVAILABILITY. *
I do hereby give MOVE permission to use images of myself/my child for the express purpose of advertising, social and print media. I release MOVE studio, the owners of the premises where classes take place and any staff/instructors from any liability. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending MOVE with Celeste and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at MOVE may result from the actions, omissions, or negligence of myself and others, including, but not limited to, MOVE employees, volunteers, and program participants and their families.I voluntarily agree to assume all the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself. On my and my children’s behalf I hereby release, covenant not to sue, discharge, and hold harmless MOVE, its employees, and representatives, of and from any claims including all liabilities, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of MOVE, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any MOVE program, class or event. *
Required
I understand that the fee is a monthly fee due regardless of any absences and that all fees must be up to date in order to participate in any performances or receive a costume. Further, non-payment of fees for two months may result in a student’s exclusion from class. NO REFUNDS; NO EXCEPTIONS. This includes but is not limited to absences due to travel, family emergencies, or illness including any COVID-related absences. Please initial below to indicate you have read this policy. *
I understand to complete registration, fee must be paid by cash, check, money order, Paypal, Cash App, or Venmo. Indicate method of payment below. Submitting this form does NOT hold a spot in a class or complete registration. The fee MUST BE PAID for registration to be complete. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy