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REGISTRATION

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Class Portals

Catapult Movement
2022-2023
RegiSTRATION

Parent/Guardian's First Name

Parent/Guardian's Last Name

Street Address

State

City

Zip Code

Phone

Child #1 Name

Child #1 Date of Birth

Child #2 Name

Child #2 Date of Birth

Child #3 Name

Child #3 Date of Birth

Emergency Contact

Emergency Contact Relation

Emergency Contact's Phone Number

How did you hear about Catapult Movement?

If referred, who refered you?

LIABILITY WAIVER & ASSUMPTION OF RISKS. I hereby register the participant(s) for services offered by CATAPULT MOVEMENT LLC and certify that the participant is physically able to participate in this extracurricular activity. The participant fully understands the risk of the services, and the participant fully releases CATAPULT MOVEMENT LLC, its owner, director, employees, volunteers, instructors, and/or authorized members, from any and all claims of injuries, accidents, and/or losses that the participant may receive or sustain while learning, practicing, or performing techniques taught during this optional extracurricular activity.

PHOTO/VIDEO/AUDIO RELEASE. I hereby grant permission CATAPULT MOVEMENT LLC, the right to use the participant's image, in video or still, and/or the likeness and sound of the participant's voice as recorded on audio or video without payment or any other consideration. The participant understands that the image may be edited, copied, exhibited, published, or distributed, and the participant waives the right to inspect or approve the finished product wherein the likeness appears. Additionally, the participant waives any right to royalties or other compensation arising or related to the use of the image or recording. The participant also understands that this material may be used in diverse settings within an unrestricted geographic area.

COVID-19 PRECAUTIONARY AGREEMENT AND WAIVER. The participant will practice reasonable measures to reduce the risk of spreading COVID-19. The participant will wear a mask to class to prevent the potential spread of COVID-19. In addition, the participant will not attend class: 1) if s/he has been knowledgably exposed to COVID-19 in the past 7 days, 2) if the participant has tested positive for COVID-19 in the past 5 days, or 3) if the participant is showing any possible symptoms of COVID-19 including but not limited to fever, sore throat, coughing, aches, respiratory problems, dry cough, fatigue, diarrhea, loss of taste or smell, chest pain, rash on skin, discoloration of fingers or toes, headache. The participant hereby releases and hold harmless CATAPULT MOVEMENT, its employees, agents, and representatives, of and from the claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind relating to COVID-19. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.

IN-HOME INSTRUCTION AGREEMENT: The participant agrees to: 1) clear an open space for instruction before the instructor arrives, moving any stationary or hanging objects that could be an obstruction during lessons including but not limited to coffee tables, couches, ladders, toys, etc. This space must be at minimum 5x10 feet for one-on-one lessons and 7x11 for each student for private classes. 2) dress in appropriate attire (leotard, dance shorts, tights, and/or fitted athletic wear) for every class. 3) ensure the comfort and safety of the instructor and her assistant. If the instructor feels that she or her assistant has been put in an unsafe circumstance, she may notify the participant that the classes have been discontinued. If this occurs, no refunds will be issued. 4) If a student needs to cancel a lesson, please contact Catapult Movement 24 hours before the scheduled lesson. Students who cancel within 24 hours of their scheduled lesson will be charged as if the lesson still occurred. Cancellation fees must be paid before lessons can continue. If the scheduled lesson is on Sunday, please reach out on Friday. 5) Tardy and no-show students will still be charged for their scheduled lesson. If Catapult Movement arrives at the decided location and the student(s) are not present and cannot be reached, Catapult Movement will wait up to 10 minutes for arrival. If the student does not arrive or respond to messages from Catapult Movement within 10 minutes, Catapult Movement will leave. This will be seen as a "no-show," and the student will still be charged for the lesson. If the tardy student(s) arrive within their scheduled lesson, Catapult Movement will conduct a shortened lesson in the remaining scheduled time. For example, if the student arrives 20 minutes late for a one-hour lesson, he will receive a 40-minute lesson. If the student will not be present within their scheduled time but would still like a lesson on that day, there will be a $35 rescheduling fee added to the lesson if time permits for the instructor. 6) Appointment confirmation texts are sent on the day of the lesson. A 45-minute window is given for potential arrival time (15 minutes before the scheduled lesson and 30 minutes after the lesson). If a student does not reply to the appointment confirmation text and/or the COVID-19 check-up and cannot be reached via phone, the instructor will not drive out to lessons. This will be seen as a "no-show," and the student will still be charged for the lesson.

acrobatic instruction BROUGHT to your location

478-419-2020

catapultmovement@gmail.com

Macon, Georgia, USA

Serving residences and businesses in the Middle Georgia area,
up to 50 miles from area code 31210

REGISTRATION

Catapult Movement
2022-2023
RegiSTRATION

Subscribe TO STAY IN THE KNOW

acrobatic instruction BROUGHT to your location

​478-419-2020

​catapultmovement@gmail.com

Macon, Georgia, USA

Serving residences and businesses in the Middle Georgia area, up to 50 miles from area code 31210

REGISTRATION

Catapult Movement 2022-2023 RegiSTRATION

Subscribe TO STAY IN THE KNOW

478-419-2020

catapultmovement@gmail.com

Serving residences and businesses in the Middle Georgia area,
up to 50 miles from area code 31210

Catapult Movement
2022-2023
RegiSTRATION