Name(Required)
First
Last
Second Adult Name(Required)
First
Last
Please list the names of the children and their ages(Required)
You are signing up for an Equity and Access registration. For the full jam, this provides discounts of $100/adult and $50 for one child. For the half jams, this provides a discount of $75/adult and $40 for one child. The discounts that will be deducted from the final total.
You are registering as a jam facilitator or other support person who does not need to pay a registration fee. If you do not need to rent sheets there is no charge, but whether or not you need sheets, please complete and submit the registration and check out so your registration is recorded. Thank you!
You are registering as the partner of a jam facilitator or other support person who does not need to pay a registration fee. A 50% discount will be applied to your registration fee. Thank you!
You are registering children who are coming with an adult who is part of the staff for Summer Jam.
Please use this registration form only if you have been directed to use this form by Earthdance staff. This form is only for people on the waiting list who have been told that they can register and for people who are in some way involved in supporting the jam. Thank you. When do you want to come?(Required) We highly recommend that newcomers attend the first half of the jam, when we will be offering classes on embodied consent and CI fundamentals.
Where do you want to stay?(Required) Note: If you want to stay at 9 Mountain (additional fee) please register here as a commuter and then contact Robyn at robyn@ninemountain.com to arrange to stay there. You will pay Nine Mountain directly for your accommodations there.
Where do you want to stay?(Required) Note: If you want to stay at 9 Mountain (additional fee) please register here as a commuter and then contact Robyn at robyn@ninemountain.com to arrange to stay there. You will pay Nine Mountain directly for your accommodations there.
Where do you want to stay?(Required) Note: If you want to stay at 9 Mountain (additional fee) please register here as a commuter and then contact Robyn at robyn@ninemountain.com to arrange to stay there. You will pay Nine Mountain directly for your accommodations there.
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Where do you want to stay?(Required) Note: If you want to stay at 9 Mountain (additional fee) please register here as a commuter and then contact Robyn at robyn@ninemountain.com to arrange to stay there. You will pay Nine Mountain directly for your accommodations there.
I'd like to rent Earthdance sheets for the jam Cost: $15
International Discount Earthdance is happy to announce a 20% discount for international travelers wanting to attend an Earthdance run event. We hope this gesture helps to keep our events accessible for those from different cultures that are traveling from afar. We also realize that given the current political situation coming to the US might be more expensive or challenging and hope this discount is a way of keeping Earthdance in your hearts.
Food Needs Please tell us of any food needs you have. If your family's food needs are not all the same, please select other and describe below.
Please tell us about your other food needs
New to Earthdance Is this your first time coming to an Earthdance event?
Earthdance Liability and Waiver Release(Required) To register, you must read and agree to the
Earthdance Liability and Waiver Release , relating to Covid-19 and personal safety. Please click the link to review the release and click "I agree" to indicate your consent.
I agree
Emergency Contact Information(Required) Please provide Emergency Contact Information (Phone number, address & email) for at least one person below
Earthdance Photo Release(Required) For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby authorize Earthdance permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of Earthdance's print and digital publications. I understand and agree that any photograph using my likeness will become property of Earthdance and will not be returned.
I hereby acknowledge that I am over 18. I acknowledge that since my participation with Earthdance is voluntary, I will receive no financial compensation.
I hereby irrevocably authorize Earthdance to edit, alter, copy, exhibit, publish, or distribute this photo for purposes of publicizing Earthdance's programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.
Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge Earthdance from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate or may have by reason of this authorization.
