Afrousion Registration - Sankofa Travels With Kofi

SANKOFA TRAVELS WITH KOFI

AfroFusion Flow Registration

Pilot form: We save your participants and contact details securely for staff review. Payments and subscriptions are not charged by this form. After submitting, single-class registrants receive a checkout link for the available Saturday they selected. Ticket checkout is separate and must be completed to reserve paid attendance.

1. Primary contact / payer

Your full name *

Email *

Phone *

First class date *Only dates with registration set up appear here. More Saturdays will be added later.

I already have a Sankofa account.

2. Participants

Add yourself, a child, or someone else. Each adult must accept their own waiver before participating. A parent/legal guardian must consent for every minor.

3. Emergency contact and accommodations

Emergency contact name *

Emergency contact phone *

Optional access or accommodation request

Please do not enter detailed diagnoses or medical histories here. Staff may follow up privately if needed.

4. Permissions and next steps

Read the AfroFusion Flow Participation Agreement and Liability Waiver

1. Voluntary participation and risks. AfroFusion Flow involves dance, stretching, aerobic movement, balance and coordination. Risks include strains, sprains, falls, collisions, fatigue and other injuries. I voluntarily participate, or authorize my minor child to participate, knowing these risks.

2. Health and personal responsibility. Participants should work within their abilities, take breaks, and tell instructors about relevant limitations or accommodation requests. Sankofa Travels with Kofi does not provide medical evaluations.

3. Liability. To the fullest extent permitted by applicable Virginia law, I release Sankofa Travels with Kofi and its directors, officers, employees, instructors and volunteers from claims arising from ordinary risks of participation, including ordinary negligence only where such a release is legally enforceable. This does not waive rights that cannot legally be waived, including claims for gross negligence or intentional misconduct.

4. Medical emergencies. Staff may contact emergency medical services when reasonably necessary. If I am the parent/legal guardian of a minor, I authorize staff to seek emergency assistance for that child when I cannot promptly be reached. I understand medical expenses remain my responsibility to the extent permitted by law.

5. Minors. Only a parent or legal guardian can authorize a minor's participation. Parental authorization does not waive rights that Virginia law does not permit a parent to waive on the child's behalf.

6. Conduct. Participants must follow reasonable safety instructions and treat others respectfully. Participation may be limited for safety reasons.

7. Acknowledgment. By checking the participant-specific box, the signer confirms they read this agreement, understand the inherent risks, and voluntarily participate or authorize their minor child. Each adult must personally agree; a purchaser cannot sign for an adult friend.

Each participant below must be covered by a separate acknowledgment, or they will remain pending. A parent/legal guardian may sign for their own minor child; an adult friend must sign for themselves.

I give permission for Sankofa to photograph or record the participant(s) for whom I am authorized to give consent. (Optional; an adult friend's consent must be obtained separately.) I confirm the information provided is accurate and that I am authorized to register the named participants. * I understand submitting this registration does not confirm payment or approval, and that any participant without valid individual/guardian waiver consent must complete it before attending. *

AfroFusion Flow registration options: $10 per person for one selected Saturday class; $35/month for regular unlimited classes; $25/month for student/senior unlimited classes. Monthly plans renew automatically until canceled once purchased through membership checkout. Eligible Sankofa Scholars and approved volunteers may request complimentary unlimited access. This form does not charge payments or grant membership access; payment, waiver, and eligibility will be verified separately.

AfroFusion Flow Registration

Participant

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