2021 EOEFF All-Access Festival Pass Registration

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Full Name* This field is required.
First Name
Last Name
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Contact Number* This field is required.
Area Code
Phone Number
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Ethnicity* This field is required.
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Gender* This field is required.
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Age Verification* This field is required.
I certify that I am 18 years of age or older
I certify that I am under 18 years of age and have consent from a Parent/Guardian
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Parent/Guardian Consent (required if under 18)As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the below named minor. I agree on behalf of myself and my child that they have permission to attend any of Essence of Embodiment Festival's movement workshops. I understand that SMUSH Gallery and Essence of Embodiment are not responsible for any injuries sustained prior to the beginning of classes. I recognize that my child’s participation may expose them to the risk of injury or harm. I accept this risk and hereby release SMUSH Gallery, and employees from all liability for personal injury, illness, or property damage occurring during instruction or performance. I understand that the studio is not accountable for any injury, illness, or property damage occurring during instruction. I certify that my child is in good health and capable of participating in all of the activities and classes. Essence of Embodiment and SMUSH Gallery has my permission to take photos, videos and/or films of my child and consent to use such materials for promotional purposes.
Parent/Guardian's Full Name
Child's Full Name
Child's Age
Date Signed
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Talkback AttendancePlease select all of the panel discussions you are interested in attending. Each of our discussions will be hosted through YouTube Live and will last approximately 60 minutes. At the end of this form, you'll be able to submit your questions or you are welcome to email the Essence of Embodiment team at bonjour@embodiment.dance
Thu 3/18 6 PM - Lasting Impact of Disassociation: Understanding the Relationship with Your Body through a Trauma-Informed Lens
Fri 3/19 7 PM - Engage the Body in Healing: Exploring Nature, Spatial Awareness, and Reconnecting with ourselves
Sat 3/20 7 PM - Facing Ancestral Trauma I May Carry with Me: Practices & Techniques towards Healing and Better Emotional Wellbeing
Sun 3/21 7 PM - Caring for Your Body: Defining Joy and Embodied Presence
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3/18 Thu - Day 1 - Movement Workshop AttendancePlease select all of the movement workshops that you are interested in attending. Each of our classes will be hosted through Zoom, every class is 60 minutes in length and is capped at 20 participants total.
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3/19 Fri - Day 2 - Movement Workshop AttendancePlease select all of the movement workshops that you are interested in attending. Each of our classes will be hosted through Zoom, every class is 60 minutes in length and is capped at 20 participants total. To find out more about our classes, visit: embodiment.dance/move
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3/20 Sat - Day 3 - Movement Workshop AttendancePlease select all of the movement workshops that you are interested in attending. Each of our classes will be hosted through Zoom, every class is 60 minutes in length and is capped at 20 participants total. To find out more about our classes, visit: embodiment.dance/move
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3/21 Sun - Day 4 - Movement Workshop AttendancePlease select all of the movement workshops that you are interested in attending. Each of our classes will be hosted through Zoom, every class is 60 minutes in length and is capped at 20 participants total. To find out more about our classes, visit: embodiment.dance/move
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Assumption of Risk and Release of Liability Agreement I, the undersigned, assume all responsibility for and all risk of damage or injury that may occur as a result of my own actions, inactions, or negligence, or that of others as a client of the Essence of Embodiment Festival or of SMUSH Gallery. In consideration of and as part of payment for the right to participate as a client of Essence of Embodiment Festival or of SMUSH Gallery, I will hold harmless and release and discharge all rights and claims for damages that I may have or that may hereafter accrue to me against Essence of Embodiment Festival or of SMUSH Gallery, its owner, employees and agents for any and all injuries resulting from or arising out of, or incident to, my use of a Essence of Embodiment Festival or SMUSH Gallery studio or location of instruction or facilities and equipment in such place, or as a result of, or incident to, engaging in Essence of Embodiment Festival or SMUSH Gallery exercises or otherwise following Essence of Embodiment Festival or SMUSH Gallery instructions anywhere. The terms hereof shall serve as a release, indemnification, and assumption of risk for my heirs, executors, and administrators, and for all my members of my family.
I have read, understand, and signed the foregoing assumptions of risk and release of liability agreement.
By checking here, you are consenting to use of your electronic initials in lieu of an original signature on paper. After consent, you may request a digital copy of this waiver for you records. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent.
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Additional Requests and Questions Intake for the Q & A's
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What should I pay?All passes for the 2021 Essence of Embodiment Festival are offered on a pay-what-you-can sliding scale and all proceeds will go to SMUSH Gallery and our festival’s artists, teachers, and writers. Each Pass provides access to all Virtual Films, Panel Discussions, and ***Movement Workshops in the festival. Use the guidelines below as a tool to adjust payment based on access to resources. You'll be taken to a registration form through ****Jotform where you'll pick your classes, rsvp for the talkbacks, and make your payment with PayPal (tax is not included). *Basic Needs include food, housing, clothing and transportation. **Expendable Income might mean you are able to buy coffee or tea at a cafe, go to the cinema or a concert, buy new clothes, books and similar items each month, etc. ***Registration is required as we are capping all workshops at 20 participants so that each of you can receive individualized feedback and proper guidance. All films will be available to watch online via a secure portal. Films cannot be downloaded. Films can be viewed for the duration of the Festival only – March 18th – 21st 2021. ****Upon purchase, you will receive an order confirmation email. Our orientation emails are sent within 12 hours of making a purchase as they are not automated. If you have not received any emails from us---and you purchased a festival pass, check both your spam and promotions folders! BIPOC Scholarship - $0-$25 I frequently stress about meeting basic* needs and don’t always achieve them. I have debt, and it sometimes prohibits me from meeting my basic needs. I have unstable housing. I sometimes can’t afford public or private transport. I am unemployed or underemployed. I have no access to savings. I have no or very limited expendable** income. I do not have the ability to take time off without financial burden. Contributor - $40 I may stress about meeting my basic* needs, but still regularly achieve them. I may have some debt, but it does not prohibit attainment of basic needs. I have access to a car and can afford gas, or I can afford public transport and often private transport. I am employed or self-employed. I have some financial savings. I have some expendable** income. I have access to healthcare. I can take a vacation annually, or every few years without financial burden. Supporter - $80 I am able to meet my basic* needs. I may have some debt, but it does not prohibit attainment of basic needs. I own my home, or I rent a property. I own/lease a car, or I can afford public and private transport. I am employed or self employed. I have access to healthcare. I have access to some financial savings. I have some expendable** income. I can take a vacation without financial burden. Pay it Forward - $150 - $225 I am comfortable and able to meet all of my basic* needs. I may have some debt, but it does not prohibit attainment of basic needs. I own my home, or I rent a higher-end property. I own/ lease a car, or I can always afford public and private transport. I am employed, or do not need to work to meet my needs. I have regular access to healthcare. I have access to financial savings. I have an expendable** income. I afford vacations or to take time off. Adapted from The Green Bottle Sliding Scale by Califia Collective. We believe that wellness, dance, and film should be available and accessible to all. We are introducing a sliding-scale payment system for our festival passes to our Essence of Embodiment audiences. This range of festival pass prices is the best way to allow everyone to be able to purchase a pass within their financial reach whilst also ensuring that we are able to continue running events. All are welcome. You can choose what you pay based on your circumstances. Free passes are only for BIPOC people that would otherwise be unable to attend, we are asking that our white allies not select this pass. If you are unable to afford this event please reach out to us at: bonjour@embodiment.dance and we will make special arrangements for you to be able to engage with the festival within your means. Essence of Embodiment Team
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ORDER SUMMARY
NJ Sales TaxUSD
SubtotalUSD
Total costUSD
BIPOC Scholarship $0
$+Remove
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BIPOC Scholarship $5
$5.00+Remove
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BIPOC Scholarship $15
$15.00+Remove
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BIPOC Scholarship $25
$25.00+Remove
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Contributor $40
$40.00+Remove
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Supporter $80
$80.00+Remove
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Pay it Forward $150
$150.00+Remove
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Pay it Forward $225
$225.00+Remove
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EOEFF 21 All-Access Festival Pass
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