5 Day Human Cadaver Dissection For Movement Artists 2026- Registration for Individuals 5 Day Human Cadaver Dissection For Movement Artists 2026 Enrollment Form for IndividualsForm Instructions -To progress through the form all required fields must be filled Status definitions –New is anyone who has yet to submit an enrollment form Contact InformationName(Required) First Last Email(Required) Mobile Phone(Required)Confirm Email(Required) Enrollment Status New Returning to make a payment Emergency Contact InformationEmergency Contact(Required) First Last Emergency Contact Phone(Required)ExperienceHow did you hear about this workshop?(Required)IN WHAT STYLE(S) OF MOVEMENT ARTS ARE YOU INVOLVED? (i.e. circus arts, dance, martial arts, yoga, Pilates, etc.)DO YOU HAVE ANY PREVIOUS EDUCATION WITH THE TYPE OF CONTENT THAT WILL BE INCLUDED IN THE WORKSHOP? (i.e. anatomy, kinesiology, etc.)?DO YOU HAVE PREVIOUS DISSECTION EXPERIENCE? If yes, state what it is and where it was acquired.HOW WILL YOU BE APPLYING THE KNOWLEDGE LEARNED?(Required)WaiverLIABILITY WAIVER/ INFORMED CONSENT FORMYou must agree to this LIABILITY WAIVER/ INFORMED CONSENT FORM in order to complete registration. It shows that you are aware that there are risks inherent in undertaking dissection and that you waive the right to make claims against the lab, and instructor(s). I hereby agree to indemnify and save harmless The Institute for Anatomical Research its staff and/or its subsidiaries and Jim Donak from and against all liability claims and demands on account of injury to persons including resulting therefrom and damage to property arising out of participation in the Human Cadaver Dissection for Movement Artists workshop to be held in Colorado Springs at The Institute for Anatomical Research. I agree Continue to PaymentPayment Amount- New(Required)Full Cost ($2,750)Deposit ($850)Payment Amount- Returning(Required)Final- Cost less Deposit ($1,900)Payment #2 ($700)Payment #3 ($600)Final Payment #3+#4 ($1200)Final Payment #4 ($600)$150 Early Bird Discount $0.00 Enrolled prior to June 8 2026Payment TotalPayment MethodPayment methodZelleVenmoCredit/Debit Card/Apply Pay/Google PayPaypal/Pay LaterPersonal CheckZelle Instructions -Send payment to: patelco2@jamdon.bulc.club -In the memo put: Dissection workshop 2026 payment; your full name; your email addressVenmo Instructions -Send payment to: @divingbuddah -In the memo put: Dissection workshop 2026 payment; your full name; your email addressPersonal Check Instructions -make check out 'Jim Donak' -send payment to 1732B Berkeley Way, Berkeley, CA 94703 - in the memo put: Dissection workshop 2026 payment'NOTE: This payment option incurs a bank fee. Use another payment method to avoid this surcharge. Bank FeeWorkshop Charge w/Bank fee Price: $0.00 Payment MethodPayPal Checkout American ExpressDiscoverMasterCardVisaMaestroSupported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro Card Number Expiration Date Security Code Cardholder Name PayPal Checkout or Credit CardPayment Details NoticeYour spot is not reserved until your payment has been received. Spots may be forfeited if payment in full is not received by July 6, 2026 Δ 2025-09-18T21:56:42+00:00
