MASTER CHOREOGRAPHY TECHNIQUES APPLICATION $500 (Include payment with application check or paypal on web-site)
First and Last Name
US Figure Skating
AGREEMENT/RELEASE I understand that Jodi Porter Company / American Ice Theatre [AIT] its officials, employees and agents, officers, directors its subsidiaries cannot be responsible for any injuries or damage suffered by my participation in the MASTER CHOREOGRAPHY TECHNIQUES (MCT) certification (program.) With this knowledge, I consent to my participation in the PROGRAM. I further consent to my participation in choreography assignments and any other activity in connection with this program. I agree that I or anyone I enlist in connection with this program will not institute any legal action or assert any claim against Jodi Porter, Jodi Porter Company or AIT for any injury or damage experienced during the PROGRAM, which extends from JAN 1, 2017 to JULY 2017. I am in full understanding of, and will comply with, tuition payment/withdrawal policies as set forth by Jodi Porter. All students are expected to conform to the PROGRAM’S policies, and conduct themselves in a disciplined, responsible and courteous manner at all times. I understand that Jodi Porter reserves the right to suspend or dismiss any student whose attitude, attendance or conduct is found to be unsatisfactory. I understand that while in the MASTER CHOREOGRAPHY TECHNIQUES course, photographs or videotape of my image may occur. I hereby consent to my image and name being used by Jodi Porter Company or AIT for commerce, business, educational and/or entertainment purposes, without limitation. Also, Jodi Porter Company / AIT may use the information or testimony I provide to the organization for similar purposes, without restriction. I also agree never to conduct educational programs i.e. classes, seminars, webinars, workshops etc. based on the concepts of MCT without express written permission of Jodi Porter. SIGNATURE REQUIRED BELOW
Print and send with check payable to: Jodi Porter Company Return application attention: Jodi Porter 26802 Stonegate Drive, Valencia, CA 91381
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