MOVE Registration Form
Name of Student *
Birthdate *
Parent's name
Email *
Mailing address *
Cell Phone *
Which class(es) are you enrolling in? *
For which location are you registering? *
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. *
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. *
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