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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, 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 Sun, Nov 18th 2018 at 9:50 AM
IP: 54.82.73.21

Studio Policies:




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