Name: Middle School Survival Club: Consent (Online)
SKU: 2227
Price: 25.00 USD
Availability: InStock

WORKSHOP PARTICIPANT'S FIRST NAME:*

PARTICIPANT'S LAST NAME:*

PARTICIPANTS BIRTHDAY:*

Participant identifies as:*

a girl/woman

a boy/man

gender creative / non-binary

PARTICIPANT'S SNAIL-MAILING ADDRESS (in case physical class materials need to be sent):

PARTICIPANT'S EMAIL (if registering a minor only enter their email if you give permission for them to directly receive class info [you'll always be cc'd]; otherwise leave blank):

PARTICIPANT'S PHONE NUMBER (if registering a minor enter caregiver's number):

ANYTHING ELSE YOU'D LIKE US TO KNOW e.g. special considerations, sensitivities, different abilities, etc.? (If signing up with a friend or sibling, please include the other participant's full name here and be sure to enter coupon code FRIEND at checkout to receive a discount):

Agreement (please check box and then click the blue register button below):*

I acknowledge that Butterfly Academy workshops, series, events, and materials may include information on and discussions about topics including, but not necessarily limited to, human reproduction, sexual safety (including birth control and contraception), gender identity, and sexuality, including anatomy, orientation, and sexual and reproductive practices. I and anyone I register for participation agree not to record, reproduce, reprint, forward, or share in any way with anyone outside of this particular cohort any Butterfly Academy content (online meetings, webinars, print outs, online materials, quizzes, etc) used or created in this Butterfly Academy workshop, series, or event. I and anyone I register for participation agree to engage in behavior that is respectful; does not provoke, bully, demean, discriminate, harass, or intentionally cause harm to others; honors the privacy of all participants; and follows the law. I agree to provide and maintain true, accurate, current and complete information about myself and anyone I am registering as prompted by this Butterfly Academy registration form. I will only attend Butterfly Academy workshops, series, and events under my registration, as myself; any of my registrants will only attend Butterfly Academy workshops, series, and events under their registration, as themselves. I will not allow anyone who has not registered or who I have not registered to participate in any way under or as a part of another person’s registration. I agree that the Butterfly Academy, in its sole discretion, may suspend or terminate my and any of my registrants’ participation in Butterfly Academy workshops, series, or events, for any reason, including, without limitation, if the Butterfly Academy believes that I or any of my registrants have violated or acted inconsistently with the letter or spirit of this Agreement. I understand that any suspected fraudulent, abusive or illegal activity that may be grounds for removal from Butterfly Academy participation may be referred to appropriate law enforcement authorities. I also understand that any suspected child abuse or neglect will be reported to appropriate law enforcement authorities. I agree to release, indemnify and hold the Butterfly Academy and its employees, directors and teachers harmless from any and all losses, damages, expenses, including reasonable attorneys’ fees, rights, claims, actions of any kind and injury (including death) arising out of or relating to A) my and any of my registrants’ participation in Butterfly Academy workshops, series, events, or correspondence, B) any content or behavior from another Butterfly Academy participant, C) my and any of my registrants’ violation of this Agreement, or D) my and any of my registrants’ violation of any rights of another. [FOR PARENTS/GUARDIANS registering a minor:] I give permission for my child/ward to participate in this Butterfly Academy workshop, series or event.

This is a live, online, all-genders’ workshop. (The “all genders” class is for EVERYONE. We sometimes offer a boys class and a girls class. The material is the same in all classes.)