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Fall Jam 2022

This event has only 49 space(s) left. If you continue and register more than 49 people (including yourself ), the whole group will be wait listed. Or, you can reduce the number of people you are registering to 49 to avoid being put on the waiting list.

To register, please fill out the form below. 

Sliding Scale Payment Tiers: We invite you to remember this contribution is currency and we ask that you stretch where you are able so that those who cannot stretch as far of a financial distance may also have potential access to community events.

Tier One: $550

Tier Two: $400

Tier Three: $325

Tier Four: $275

Tier Five: $235

Children: Ages 0-3 Free and Ages 3- 13: $225


**Equity & Access Tickets** $150, Read more and apply here.

FAMILIES
If you are registering more than one young person, one of which is 0-3yrs, please just include the 0-3yr old's name, age and any special needs in the "additional comments" field of your registration form. You do not need to register them as an additional child, as their registration cost is FREE

*
 (including yourself)
Your registration information
Event Fee(s)
Enter the total amount you will pay.
Total for this participant
Food needs

Please tell us of any food needs you have.

New to Earthdance

Is this your first time coming to an Earthdance event?

 
Liability and Waiver Release

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.

Emergency Contact Information
Please provide Emergency Contact Information (Phone number, address & email) for at least one person below
Please let us know if you have any medical conditions we should be aware of (we are located in a rural setting, about 30m from the nearest medical facilities)
Earthdance Photo Release

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.
 
Additional Comments

Parents, please include any additional needs for your children in the additional comments field of their registration form(s) on the following page(s).