Registration Form

Sex of Student *

Signed Agreement *

Please Indicate the Class for which You’re Registering






*Make check payable to: Socially Savvy, LLC  Return To: 4 Deerfield Terrace, Moorestown, NJ 08057


Please note, registering online does not secure your space. Payment is required one week prior to scheduled class date in order to ensure your spot.



Payment Type *

How Did You Hear About Us? *








In the event that there is either any print or electronic media coverage during the Socially Savvy program, permission is hereby granted to use any photograph or video of likeness of the student in any manner, without obtaining subsequent permission or consent and without payment or further consideration.  I agree to defend, indemnify, and hold Socially Savvy harmless from and against any claim, demand or cause of action that I may make because of the use of any such photograph or likeness in any manner. I understand that photograph WILL NOT have any personal identified by name.

*


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