Fall Session: Creative Movement with Miss Julie
Tuesday afternoons, 3:30-4pm PST
Sept 8th -Nov 17th (11 weeks)

Ages 3-6 (but siblings, parents, grandparents, pets, etc are all welcome to join us!)

Sliding scale: $55-$220 ($5-$20 per class) paid via PayPal or Venmo (info below)

Classes are held on Zoom.
Meeting info will be the same week to week and will be shared via email prior to first class.
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Email *
Student's Name: *
Student's age: *
Parent/Guardian's Name: *
Parent/Guardian Phone Number: *
Photo/Video Release:  Julie Crothers may use videos and photographs (screenshots and screen recordings) of my child for publicity purposes. *
RELEASE OF LIABILITY AND INDEMNIFICATION:
I, on behalf of myself and my heirs, guardians, personal representatives, or assigns, do hereby release, indemnify and hold harmless Julie Crothers from any and all liabilities, claims, demands, and causes of action, arising out of or relating to any personal injuries (including death) and property losses or damages that may be sustained by me in connection with any activities occurring in MY OWN HOME or PREMISES, or any other location I choose when engaging in remote learning opportunities with Julie Crothers.

I have voluntarily chosen to participate in the remote dance training offered by Julie Crothers. I am aware that dance training and related activities carry certain risks that can result in injury, both minor and major. and I am fully aware of the risks and hazards involved.

I further expressly agree that the foregoing liability waiver is intended to be as broad and inclusive as it is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the remainder of the agreement shall, notwithstanding, continue in full legal force and effect.

I recognize that dancing requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

If I am signing this waiver for my child, I certify that I am the parent or legal guardian and have the right to waive these rights
I have read the above Release of Liability and Indemnification and fully understand its contents. I voluntarily agree to the terms and conditions stated above. By checking "I agree" below, I am legally accepting the above terms and conditions. *
Required
Payment - Sliding Scale ($55-$220)
Please submit a payment via PayPal or Venmo to Julie Crothers by Sept 8th.

PayPal: paypal.me/JulieCrothers
Venmo (app required): @Julie-Crothers, (615)429-2362

Class offered on sliding scale of $55-$220 ($5-$20 per class - 11 classes)
Please choose any amount that makes the most sense for your family at this time.

And if cost is prohibitive to your student's participation in class, please email me at juliec.crothers@gmail.com and we can work something out!

Anything else you want me to know?
A copy of your responses will be emailed to the address you provided.
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