Weekly Payment Plan (8 week class) Name* First Last Email* Enter Email Confirm Email Phone*City Closest to you*VancouverTorontoLAHow did you hear about this class?From a FriendFrom My AgentNewsletterSocial MediaInternet Ads on Other SitesAny Requests or Comments?Waiver of Liability and Release Show me this Waiver WAIVER OF LIABILITY AND RELEASE I, (Name typed above), understand and acknowledge that the class/workshop/seminar that I am participating in with Jeb Beach & Associates is physically and emotionally demanding and I fully understand and acknowledge that there are risks and dangers associated with participation in the class/workshop/seminar. I hereby assume any and all risks associated with participation in the class/workshop/seminar, including, without limitation, the risk of physical or mental or emotional injury, minor or severe bodily harm, and/or illness, which arise by any means, including, without limitation, any and all acts, omissions, recommendations or advice given by Jeb Beach & Associates or their agents, employees, or other persons or entities affiliated with Jeb Beach & Associates and/or relating to or arising from my participation in the class/workshop/seminar. I agree to exercise all necessary caution during the class/workshop/seminar. I also agree to inform Jeb of any significant aspects of my physical or emotional condition or medical history that might increase the risk to myself or others. I hereby voluntarily and knowingly, release and discharge Jeb Beach & Associates, its employees, agents, affiliates, directors, officers, insurers and assigns of and from all manner of claims, actions, losses, liability, costs, damages and lawsuits of any kind that I now have or may have in the future by reason of any matter, cause or thing related to or arising from my participation in the class/workshop/seminar. Photography/Recording Release I hereby authorize, consent and grant permission to Jeb Beach & Associates and all of its employees, sub-contractors, affiliates, and agents to photograph, document, film, videotape and record my performance and/or participation in the class/workshop/seminar. I hereby grant to Jeb Beach & Associates, and those acting with its authority and permission, the absolute right and permission to copyright and use, reuse, publish and republish photographic portraits, pictures, videos and/or sound recordings, or any part thereof, that may have been taken or made of me and I acknowledge that such material shall be the property of Jeb Beach & Associates. I waive my right to any and all royalties or other compensation arising or related to the use of such material. Cancellations I hereby agree that I may cancel my participation in this class or workshop up to 96 hours after registration is sent or 96 hours prior to the start of the class/seminar/workshop (whichever happens first) and receive refund less a $25 processing fee. After this time, i acknowledge that my payment is non refundable. Cancelations must be requested by email to firstname.lastname@example.org Substitute Teachers I hereby agree to accept a reasonable substitute teacher as chosen by Jeb Beach & Associates to fill in should circumstances necessitate the regular teacher being absent. Missed Classes I agree that my participation/attendance of this class is subject to the JBA B2B TW SS Attendance Policy as outlined at this link , and agree to the terms listed therein. I have carefully read and considered this information and release and fully understand its contents. I am aware that I am releasing certain rights I may otherwise have and enter into this Release in consideration of being permitted to participate in the class/workshop/seminar. I acknowledge that by submitting this form and/or agreeing to participate in training with Jeb Beach & Associates (JBA), I am agreeing to the JBA Waiver of Liability and Release* Agree 8-week Payment plan Price: $ 66.25 CAD $530 total paid in four payments of $66.25 eachEmailThis field is for validation purposes and should be left unchanged.