STG E-Waiver for Digital Education Program

Livestream & Recorded Video Sessions

The video and livestream resources provided are for general information purposes only and do not constitute medical advice and should not be used or relied upon for treatment of any medical condition or without guidance and approval from a qualified physician. You assume all risks of injury as a result of engaging in any dance activity. Seattle Theatre Group, and its directors, officers, employees, partners and agents, Dance for PD®, and Mark Morris Dance Group are not responsible for any injury sustained by you during the course of any dance activity.

By participating in any of these class sessions, viewers acknowledge that they are responsible for taking care of their needs and finding their own modifications, breaks, and limits as an individual.

I have read the above information and agree.

Yes

First Name

Last Name

Phone Number

Email Address

Emergency Contact Name (First & Last)

Emergency Contact Relationship to Participant

Emergency Contact Phone Number

Zip Code

STG Program Participant Information

The following questions are optional and are not required as part of your application.

However, by providing this information, you are helping us to accurately represent our programs to granting and other support organizations - ensuring that we can continue to offer these opportunities to the community. Your response is greatly appreciated.

Any information you provide us, will be anonymous and will not be connected to your application.

I decline to complete this section.

Demographic Information

Age

Ethnicity

Gender

Do you qualify for the Free or Reduced Lunch Program?

Contact Information