Liberation Dance Class Registration

Registration Form

with Annika Mossberg
Class Description: This dance/movement experience gives you space to connect with your breath and with your body, and release stress and tension from the comfort of your home.

Class Length: 60 minutes

Class Outline: Warm-up, stretch, cardio/dance, breathwork, restorative movement.

Please wear comfortable clothing and position yourself in an environment where you can move in your space, including up/down, forward and backward, and side to side.

All movement is opt-in and can be modified to your own space and body! This class is for YOU.

Dance, release stress, and connect with yourself.
Full Name*

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Birthdate

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Emergency Contact
In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following:

I hereby acknowledge that I understand the nature and purpose of this dance/movement class that I will be participating in. I understand that the class will involve physical movement and the use of my body.I understand that there may be moments of cardiovascular movement as well as stretching and that I will modify all movements and stretches to meet the needs and capacity of my body.I acknowledge that I am participating in the classes voluntarily and that I am free to stop participating at any time.I release the facilitator, Annika Mossberg, and any other parties involved in the session from any and all claims or damages arising from my participation in the session.
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Thank you for registering for Liberation!
This is a one-time registration form to gain access to the classes. (You will not need to fill this form out again.)

Payment:
Single class fee: $15

Month fee: $50 ($12.50/class)

Please send payments for classes to:

Venmo (@annika-mossberg)
Zelle (858-248-0662)
Should be Empty:

Registration Form