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BurlyCon 2017 Registration: $275

BurlyCon, November 9-12, 2017.

This special $275 rate is available from June 15th at 5:01pm (PST) to August 15th at 5:00 PM PST.  

This rate reflects a 35% discount from the full price of a BurlyCon registration (full price is $425).  

This registration is not refundable, but is transferrable.  

The transfer fee is $50.00.

 

If you have trouble submitting this form, please submit directly here:

https://secure.lglforms.com/form_engine/s/AhBoyORxzQSsLhR5K-OYYQ

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I attest, as a participant in BurlyCon, that should the participant take part in the aforementioned exercise program, the participant is physically fit to participate in the convention known as and associated with any BurlyCon classes, workshops, panels, and events. In participating in BurlyCon LLC, including, but not limited to any individual or group classes, workshops, panels, and events, or other activity organized by BurlyCon, I hereby waive and release all claims, liabilities, actions, damages, costs or expenses of any nature whatsoever for injuries the participant might sustain, known or unknown, arising out of the program now or at all times in the future. I understand that certain corrections may include manual physical contact and manipulation. I recognize and acknowledge there is risk associated with participating in the activities associated with the instruction of dance, physical theater, and movement exercises, and I agree to assume total risk of any such activities connected with BurlyCon. I accept liability for any property damage that may occur as a result of participant's instruction, and I understand and accept that no promises or guarantees are made, explicit or implied.
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By signing below, I acknowledge that all class content, including but not limited to teaching method, curriculum, discussions, written materials, movements, dance steps, routines, choreography, and other processes and material (hereafter referred to as "Proprietary Information") are the property of BurlyCon Presenters and constitute confidential and proprietary business information and trade secrets, the unauthorized disclosure or distribution of which will irreparably harm the Presenters. I further agree that in exchange for BurlyCon's agreeing to take me on as a participant, I agree to keep the Proprietary Information confidential and that I will not disclose the Proprietary Information to anyone without prior written consent of the individual Presenters. I further agree that I will not teach to any third party any of the Proprietary Information, and that I will refer any person wishing to learn any of the Proprietary Information to the BurlyCon Presenter. I further expressly agree that I will not use the Proprietary Information for the purpose of soliciting any students or members of BurlyCon or to otherwise compete with BurlyCon.
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I agree that as a participant in BurlyCon I will allow my likeness to be captured in film and video for promotional purposes only. I agree that BurlyCon holds the copyright to all images and video taken of me during the Convention.
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BurlyCon collects the following sexuality, gender, race, and ethnicity information data for grant writing purposes.

The language and format for reporting is based upon our needs for completing grant applications.  We understand that the language in the following data has social, cultural, and political shortfalls and the questions and answers may not reflect the views of BurlyCon or its staff.

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I understand that the transfer fee of $50.00 will apply to a transfer of this registration.
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