Private Movement Class Liability Waiver
Instructor Bio:

I have been studying and performing Afro-diasporic dance for eleven years. My core practice is Mandé dance of the Bamana people from present-day Mali, but I have also spent years practicing Yorùbá and Afro-Brazilian dance in Los Angeles, CA. I have studied Guinean, Afro-Cuban, Afro-Puerto Rican and Afro-Haitian dance in New York, NY; Durham, NC; Cambridge, MA; and Los Angeles, CA. My teachers have included Omowale and Francis Awe, Tania Melendez, Silfredo La O, Kimberly Miguel Mullen, Seydou Coulibaly, Michelle Bach-Coulibaly, Rachel Hernandez, Linda Yudin, Luiz Badaró, Samantha Blake Goodman, Vera Passos, Gisella Ferreira, Vida Vierra, Amen Santo, Ana Laidley and Jean Appolon. I have taught and choreographed for Beneficent Congregational Church, Barrington Congregational Church, Providence Public Schools, Global Dance Arts, the Providence Parks and Recreation Department, Brown University Recreation, and the Brown University Department of Theatre Arts and Performance Studies. I have performed with the New Works/World Traditions Dance Company, The Axé Collective, Swing Brazil Tribe, The Nigerian Talking Drum Ensemble, and Ballet Folclórico Do Brasil. As a non-Black person, I commit to redistributing at least 20% of any resources I receive for teaching Afro-diasporic movement to Black communities.

At Yo San University of Traditional Chinese Medicine, I have completed Self-Healing QiGong, Harmony Tai Chi, InfiniChi levels 1 and 2a, Crane Style Qigong, and Meditations for Cancer Treatment and Prevention. I am currently in the eight-month Level 1 program offered by the International Taoist Meditation Institute and studying Qigong Meditations for Weight Management with Amira Kusala. My father taught me Yang Style Tai Chi as well.
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Are you pregnant or living with any ongoing health conditions? *
I, on behalf of myself, my heirs, executors, agents, assigns, and representatives, hereby indemnify, release and forever hold harmless Camellia Lee from any and all claims of liability arising from any accident, personal injury, death, or property loss or damage sustained by my child/myself/the minor child for whom I am a legal guardian, while that person is participating in activities connected with private movement lessons. I understand that movement activities have inherent risks of injury, and, being fully aware of all risk, I consent to have my child/myself/the minor child for whom I am a legal guardian, participate in the programs and activities offered by Camellia Lee, and I accept full responsibility for providing adequate health and accident insurance coverage for the protection of all of the following who participate in these programs/activities: my child/myself/the minor child for whom I am a legal guardian. *
I understand and accept that private dance classes are not a substitute for medical treatment. I will consult licensed medical providers for serious health conditions. *
Do you need barter, a payment plan or reduced price? Please let me know below. Please read this article before proceeding: http://www.wortsandcunning.com/blog/sliding-scale?and take the Resource Generation class privilege quiz:https://resourcegeneration.org/start-your-journey/quiz/ If you are white, cisgender, straight, and/or make a living off of Chinese culture, please save until you can pay full price. This option is intended for people whose marginalization has benefited me, the creator, not as a discount for those who benefit from my own marginalization. If you are Black/Afro-descendant, indigenous, disabled, transfeminine, working class, a parent, and/or a sex worker, this is for you.
I have carefully read this Agreement, Waiver, Release, & Assumption of Risk and fully understand its contents. I understand that this is an assumption of risk and release of liability, and I sign it of my own free will. *
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