MOVE Registration Form

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MOVE Registration Form - Branchville

*Required

Name of Student & age *

Birthdate *

YYYY

Parent's name & cell number *

Email *

Mailing address *

Please indicate class below. Any class that does not have enough participants will be cancelled and this may cause us to modify the schedule.

Registration fee: $20/student or $30/family

Monthly fees:$50/month for 45 min classes.

$45/month for 30 min class.

Sibling discount: $5 off for second child within family, etc.

3:30-4:15p Clogging/hiphop Ages 5-7

4:15-5:00p Clogging/hiphop Ages 8 & up

5:00-5:30p Pre-clogging/movement Ages 2.5-4

I am interested in a clogging only class.

I am interested in a hiphop only class.

Required

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 AGREE

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.

There is no such thing as "taking a month off."

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. For extended absences, we are happy to provide a schedule for make-up classes a student may attend. If your child is withdrawing from a class, please notify us.

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. *

Cash, check, or money order, made payable to Celeste Smith & mailed to 1695 John Wesley, Orangeburg SC 29118

Paypal to 803 707 9106 sent as money to family/friends

Cash App to $movewithceleste

Venmo to @move1

Required

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