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Emergency Contact:


How did you find out about Empyrean Arts?
If you were referred by a friend, tell us their name!


Is there anything else you would like for us to know about you?
Previous movement background, preferred name or pronoun, current injuries, medical conditions, etc?


Liability Waiver:






Please have the student type their
full name below as a digital signature:


If the student is a minor, please type your
full name as their parent or legal guardian:


Signed Fri, May 25th 2018 at 5:59 PM
IP: 54.156.76.187

Studio Policies:




Are you a human?
(Sorry, robots don't make very good aerialists.)