Event Registration
Sun Sep 12 - Fri Sep 17, 2010
Esalen Institute. Big Sur, CA
JourneyDance™ Teacher Training Module 1. A 5-Day Intensive

Full Name
Preferred Name
Contact Information
Address
City
State/Province
Zip/Postal Code
Country
E-mail
Phone
Phone2
Emergency Contact Name
Emergency Contact Phone
Food
Diet
Sugar-free
Nut-free
Gluten-free
Egg-free
Soy-free
Garlic-free
Other Diet Concerns
Travel
Offer Rideshare
(put details below: how many? departure time? route?)
Need Rideshare
(put details below: how many? departure time?)
Travel Plans
Examples: driving from NYC, flying to Hartford, bus to Northampton
Waivers/Policies/Releases
I have read and agree to the safety waiver
I have read and agree to the photo, video & audio consent & release
I have read and understand the Postponement & Cancellation Policies
 

Safety Liability Waiver

I agree to take full responsibility for my own health and safety and the safety of my personal belongings. I am aware that JourneyDance Teacher Training can involve physical and emotional activity and exertion. It is my responsibility to monitor my activiy level and work at my own pace. My body, mind, and personal belongings are under my own care. I release Toni Bergins, all JourneyDance staff members, Earthdance, all Earthdance staff members, from any liability for any harm that may come to me or any damage or theft of my belongings during the JourneyDance Teacher Training.

Agree

Photo, Video & Audio Consent & Release

I hereby grant permission for JourneyDance, (referred to as "JD") and/or any person(s) or entities authorized on JD's behalf to Record me during the JD Level One Teacher Training anytime from May 25, 2007, through October 14, 2007. Such Recordings may consist of photographs, audio, video, or any combinations thereof. I understand that these Recordings may be broadcast live across the Internet, as well as stored for future broadcast "on demand" across the Internet.

I grant permission for JourneyDance and/or any person(s) or entities authorized on JD's behalf to use these Recordings for the following applications:

demo reels
promotional videos, DVDs, and CD-ROMs
display on the World Wide Web
public relations and press materials
advertisements
product demonstrations at trade shows
sales demonstrations given by JourneyDance and/or any person(s) or entities authorized on JD's behalf
training materials
television or radio broadcast

I grant permission for JD and any other person(s) or entities authorized by JD to make copies in any form or media of the Recording made of me and described above, including digitized copies or written transcriptions. I further grant permission for JD and/or any person(s) or entities authorized on JD's behalf (i) to edit or alter the Recording (referred to as an "Altered Recording"), (ii) to distribute, broadcast, publish and/or transmit all or any portion of the Recording or an Altered Recording via any media including computerized means (iii) to incorporate all or any portion of the recording or an Altered Recording in derivative works or compilations in any form or media and (iv) to use my name, likeness and biographical material in connection with any of the foregoing, all to the extent and in such fashion as they deem necessary or desirable.

I understand that I will receive no compensation for any use of the Recording or Altered Recording.

I hereby release JD, related entities, and their agents, personnel, trustees, directors, officers and employees from any claims or liability regarding any use that may be made of the Recording or Altered Recording in accordance with this Consent and Release.

I certify that I am 18 years or older and have read this release and understand all its terms. I execute it voluntarily and with full knowledge of its significance.

Agree

Postponement & Cancellation Policies

Brief text:
If JD is forced to postpone or cancel for any reason, JD will refund all deposits proportionally.
Deposits can also be credited toward a future JD Teacher Training.
session length 3-day 6-day 12-day
% refund 25% 50% 100%

If you need to cancel, and you let us know more than 3 weeks prior to the start date; JD will retain US$500 as a credit toward a future Teacher Training and refund any remainder.

If you need to cancel and you let us know 3 weeks or fewer than 3 weeks prior to the start date; JD will retain 50% of the total tuition as a credit toward a future Teacher Training and refund any remainder.

Agree