INSTRUCTOR / Co-op MEMBER INTAKE FORM

Name

First Name

Last Name

Email Address

Address

Phone

What Do You Teach? Does This Require A Certification?

When / Where Did You Receive Your Certification? ( If applicable )

Please Provide The Name Of Your Insurance Provider And Your Policy Number Below:

Have You Done / Understand The Following?

Read and signed your current (8) week contract and understand the stipulations / terms?

Read and understand the Co-op Member Guide?

Understand how to issue, record and redeem the Nu Mvmnt (10) Class Passport? *If you do not, please contact Danielle to discuss.

Understand what cleaning responsibilities are required?

Understand how to lock / unlock the studio?

Thank you for taking the time to provide this information and welcome to the Nu Movement Cooperative Studio / Gallery!