FREE Pop-Up Step Class
Emerson Park, 193 Koons Ave. Buffalo, NY 14211 Sunday, September 20th @ 4pm.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Experience Level
Beginner
Intermediate
Advanced
I understand that Payment is required to secure my reservation.
Reservations are not held without payment. Please submit payment using the method selected above. If you experience any issues, email iamcholeworld@gmail.com with your payment intent and method. Failure to verify payment or communicate intent immediately after registration will result in cancellation. Thank you for your cooperation and support.
Choose your way to MOVE! ‼️ALL CHOLEWORLD STEPS ARE BOOKED OUT!!! ‼️You're welcome to choose another way to participate!
*
I'VE GOT MY OWN! ~ I’ll bring my own step platform.
NO STEP, JUST VIBES! ~ I’ll follow along on a flat surface.
SEATED & STILL MOVING! ~ I’d like to participate using seated movement.
Terms and Conditions
Waiver of Liability and Assumption of Risk Agreement Assumption of Risk I, the undersigned participant, acknowledge and understand that participation in the workout class or any related activities (collectively referred to as the "Activity") involves physical exertion and carries inherent risks, including but not limited to injury, disability, or death. I voluntarily assume all such risks associated with my participation, whether known or unknown, and agree to participate in the Activity at my own risk. Waiver of Liability I hereby release and hold harmless Nichole Marshall, CholeWorld™ Movement, the owners of the building located at 463 Amherst St., Buffalo, NY 14207, and their employees, agents, representatives, and affiliates (collectively referred to as the "Released Parties") from any liability, claims, demands, or causes of action arising from my participation in the Activity. This includes, but is not limited to, any injury or damage sustained during or after the Activity, whether resulting from the negligence of the Released Parties or otherwise. Medical Disclosure I certify that I am in good physical health and do not have any medical conditions or injuries that would limit my ability to participate in the Activity. I understand that it is my responsibility to consult a physician before beginning any exercise program or physical activity, especially if I have pre-existing conditions. If at any time during the Activity I feel discomfort, pain, or dizziness, I agree to stop immediately and notify the instructor. Emergency Medical Treatment In the event of an emergency, I consent to receive medical treatment and agree to bear the costs of such treatment, whether provided by a medical professional or emergency services. Consent for Use of Image and Likeness I grant permission for Nichole Marshall and/or CholeWorld™ Movement to use photographs, videos, or recordings of me during the Activity for marketing or promotional purposes, without compensation. Agreement to Follow Instructions I agree to follow all instructions provided by the instructor and respect the policies and procedures set forth by CholeWorld™ Movement and the owners of the building located at 463 Amherst St., Buffalo, NY 14207. I understand that failure to comply with safety guidelines may result in injury and, at the instructor's discretion, removal from the class. By checking this box, I confirm that I have read and understood the Waiver of Liability and Assumption of Risk Agreement. I am voluntarily agreeing to participate in the Activity, fully aware of the risks involved. I release the Released Parties from all claims and liabilities related to my participation. I, the undersigned, hereby grant [Organization Name] (“Company”) and its representatives, agents, employees, and assigns the irrevocable right and permission to capture, record, use, reproduce, publish, distribute, and otherwise exploit photographs, video recordings, audio recordings, and other images or recordings (“Media”) of me, including my name, likeness, image, appearance, voice, and/or performance, taken or recorded in connection with the above-referenced event/activity. I acknowledge and agree that: • The Company shall have all rights to use the Media for any lawful purpose, including but not limited to promotional, marketing, advertising, educational, and commercial purposes, in any and all media now known or hereafter developed, without further compensation to me. • I waive any right to inspect or approve the final products, including written copy or other media that may be created in connection with the Media. • I release and discharge the Company from any and all claims, demands, and causes of action that I may have arising out of or relating to the use of the Media, including but not limited to claims for invasion of privacy, defamation, or violation of any right of publicity. This release shall be binding upon me and my heirs, legal representatives, and assigns. By submitting this form, I acknowledge that I have read and understood this Waiver and Release, and I voluntarily agree to its terms.
By clicking "SUBMIT", I acknowledge and agree to the Terms and conditions referenced above.
Submit
Should be Empty: