Mindfulness and Movement Workshop for Kids
November 4th, Rob Fleming Treehouse
Thank you for your interest! This workshop is currently full, but you can join our waitlist by filling out the form below. If a spot opens up, we’ll reach out to you! Join the wait list
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Participants' Information
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Parent/Guardian Name
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First Name
Last Name
Email
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Phone Number
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Emergency Contact
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MOVE ZENFULLY LLC PARTICIPANT WAIVER AND RELEASE FORMIn consideration of being allowed to participate in the program, event, or activity (the “Program”) conducted by Move Zenfully LLC, I, as the Participant, or if the Participant is a minor, as the parent or guardian of the minor Participant (hereinafter “I”), intending to be legally bound, hereby acknowledge and agree to the following:ASSUMPTION OF RISK:I understand that participation in the Program may involve physical activity, including but not limited to, stretching, movement, and fitness-related activities, which carry certain inherent risks, including but not limited to injury, illness, permanent disability, or death. I voluntarily assume all such risks, both known and unknown, and take full responsibility for my participation or my child’s participation in the Program.ENVIRONMENTAL RISK (INDOOR & OUTDOOR):I understand that the Program may take place in both indoor and outdoor environments, and that participation in outdoor settings may include exposure to natural elements such as uneven terrain, weather conditions, insects, and wildlife. I acknowledge and accept any risks associated with these environments and agree to take responsibility for my own safety and the safety of my child during participation in the Program.RELEASE OF LIABILITY:I hereby release, waive, discharge, and covenant not to sue Move Zenfully LLC, its owner, instructors, agents, and any affiliated entities from any and all liability, claims, or demands related to injury, illness, or death that may occur during or as a result of participation in the Program.MEDICAL CONDITION:I verify that I, or my child, am/is in good physical health and have no known medical conditions that would prevent participation in the Program. I agree to inform the instructor of any medical concerns prior to participation.COVID-19 DISCLAIMER:I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk of exposure or infection during the Program. I understand that such exposure or infection may result in personal injury, illness, permanent disability, or death.INDEMNIFICATION:I agree to indemnify and hold harmless Move Zenfully LLC from any claims, liabilities, or expenses arising from my, or my child’s, participation in the Program.AGREEMENT TO TERMS:I have read and fully understood this Waiver and Release. I understand that by participating in the Program, I am waiving substantial legal rights, including the right to sue. I agree to these terms voluntarily and knowingly. I Agree to the Terms AboveParent/Guardian Signature:
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Photo Release:Do you consent to photos or videos being taken of your child during the workshop for promotional purposes?
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Yes, I consent to the use of photos or videos.
No, I do not consent to the use of photos or videos.
Cancellation Policy:I agree that all cancellations must be made at least 48 hours prior to the scheduled workshop to receive a refund, minus a $5 processing fee. Cancellations made within 48 hours of the workshop and no-shows are non-refundable. I understand that by signing up for the workshop, I am reserving a spot, and last-minute cancellations prevent others from attending.
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I Agree to the Cancellation Policy
How many kids are you registering?
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