Authentic Movement Monthly Group - Registration Form 
Event Timing: First Friday of every month, starting in January
Event Address: Online
Contact us at maura@sunrise-nutrition.com
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Name *
Pronouns
Email *
Are you over the age of 18? *
Required

I am accepting of all races, ethnicities, nationalities, sexual orientations, genders, gender identities, gender expression, sizes, shapes, abilities and ages.

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I understand that the education and information provided in this group, while therapeutic, is designed to complement therapy and should not be considered a replacement for individual therapy, nor should it be construed as diagnostic, medical, or health advice. 

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I take full responsibility for the care of my body while attending these groups, and agree to honor my sense of what feels right/wrong for my body that day in order to respect my personal boundaries and prevent injury. 

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I understand that each group requires a minimum of 4 participants in order to run. If the group minimum is not met, I understand the group will be paused until a full cohort is met. 

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Please provide your payment information below: 
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Card Number *
Expiration Date *
Zip Code *
Three-digit security code *
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