Formulario de inscripción para la serie de talleres Wildin' In: Durham Logo
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  • Registration Form for the Wildin' In: Durham workshop series

    THIS FORM WILL LIKELY TAKE 5 - 10 MINUTES TO FILL OUT COMPLETELY. PLEASE READ FULLY. Please use this form to register for part or all of the Wildin’ In: Durham workshop series

  • We are creating a space that uplifts queer and trans folx. This is probably not the right space for you.

  • Our COVID-19 Protocol formation

  • Access

    • REGISTRATION 

    • WORKSHOP SCHEDULE

      Sweat to the Beat of Slow Motion
      - Sunday, February 2, 5-8pm
      - Monday, February 3, 6:30-9pm
      - Tuesday, February 4, 6:30-8pm


      Colecionar Delírios
      - Monday, February 3, 3:30 - 5:30pm 
      - Tuesday, February 4, 3:30 - 5:30pm
      - Wednesday, February 5, 3:30 - 5:30p


      Dancing Power
      - Wednesday, February 5, 6:30 - 9pm
      - Thursday, February 6, 6:30 - 9pm
      - Friday, February 7, 6:30 - 9pm


      The Switching
      - Thursday, February 6, 3:30 - 5:30pm
      - Friday, February 7, 3:30 - 5:30pm
      - Saturday, February 8, 3:30 - 6:30pm

    • Sliding Scale Codes

      For sliding scale rates, please use the code 80SLIDE (for a rate of 80% full cost), 60SLIDE (for a rate of 60% full cost), 40SLIDE (for a rate of 40% full cost), or 20SLIDE (for a rate of 20% full cost).
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      Wildin' In: Durham FULL SERIES Product Image
      Wildin' In: Durham FULL SERIESThis registration covers admission to all four workshops in the series
      $280.00
        
      Wildin' In: Durham — Sweat to the Beat of Slow Motion ONLY Product Image
      Wildin' In: Durham — Sweat to the Beat of Slow Motion ONLYThis registration covers admission to the Sweat to the Beat of Slow Motion workshop series ONLY
      $80.00
        
      Wildin' In: Durham — Colecionar delírios ONLY Product Image
      Wildin' In: Durham — Colecionar delírios ONLYThis registration covers admission to the Colecionar delírios workshop series ONLY
      $80.00
        
      Wildin' In: Durham — Dancing Power ONLY Product Image
      Wildin' In: Durham — Dancing Power ONLYThis registration covers admission to the Dancing Power workshop series ONLY
      $80.00
        
      Wildin' In: Durham — The Switching ONLY Product Image
      Wildin' In: Durham — The Switching ONLYThis registration covers admission to the The Switching workshop series ONLY
      $80.00
        
      Wildin' In: Durham — Sweat to the Beat of Slow Motion FIRST DAY ONLY Product Image
      Wildin' In: Durham — Sweat to the Beat of Slow Motion FIRST DAY ONLYThis registration covers admission to the Sweat to the Beat of Slow Motion workshop FIRST DAY ONLY
      $30.00
        
      Wildin' In: Durham — Colecionar delírios FIRST DAY ONLY Product Image
      Wildin' In: Durham — Colecionar delírios FIRST DAY ONLYThis registration covers admission to the Colecionar delírios workshop FIRST DAY ONLY
      $30.00
        
      Wildin' In: Durham — Dancing Power FIRST DAY ONLY Product Image
      Wildin' In: Durham — Dancing Power FIRST DAY ONLYThis registration covers admission to the Dancing Power workshop FIRST DAY ONLY
      $30.00
        
      Wildin' In: Durham — The Switching FIRST DAY ONLY Product Image
      Wildin' In: Durham — The Switching FIRST DAY ONLYThis registration covers admission to the The Switching workshop FIRST DAY ONLY
      $30.00
        
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      Total
      $0.00

      Payment Methods

      creditcard
      After submitting the form, you will be redirected to Apple Pay to complete the payment.
      After submitting the form, you will be redirected to Google Pay to complete the payment.
      After submitting the form, you will be redirected to Cash App Pay to complete the payment.
      After submitting the form, you will be redirected to Afterpay to complete the payment.
    • ADDITIONAL QUESTIONS 

    • Why this workshop series? Why now?

    • To complete this registration, please fill out the (1) Liability Waiver, and (2) Photo/Video Release Form on the following pages.

  • Workshop Participation Liability Waiver

  • * hereby affirm that I am voluntarily participating in the Wildin' In: Durham workshop series at Radical Healing, a movement and performance-based workshop (referred below as the "Workshop"). I am voluntarily participating in the workshop entirely at my own risk.

    In full consideration of the risk of injury while participating in the Workshop, and for the right to participate in the Workshop, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Workshop, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Workshop, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.

    I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the facilitators and Radical Healing from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.

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  • Photo and Video Release Form

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