Informed Consent Waiver
  • Informed Consent Waiver

  • I hereby agree to the following:

    1. I am participating in classes or services during which I will receive information and instruction about Qigong, Yoga, and meditation. I recognize that I may also choose to do physical movement, such as sitting, standing, walking, stretching, and meditation. I represent and warrant that I have no physical or mental health condition that would prevent my safe participation in Qigong, Yoga, or meditation classes.

    2. I understand that the purpose of the movement programs is to maintain overall wellness, flexibility, joint mobility and decrease stress. All sessions include warm-up, breathing and simple movement. The programs include, but are not limited to gentle Yoga, restorative Yoga, meditation, Qigong & various fitness modalities.

    3. I understand that I am to listen to the feedback my body is giving me and responsible for monitoring my own condition & throughout the session, should any pain occur, I would cease my participation and inform the instructor.

    4. In signing this consent form, I affirm that I have read this form in its entirety, and I understand the nature of the program. I also affirm that my questions regarding the program have been answered to my satisfaction.

    5. In the event that medical clearance must be obtained prior to my participation in the program, I agree to consult my physician and obtain written permission from my physician prior to the commencement of any exercise program.

    6. In consideration of being permitted to participate in the Qigong, Yoga, and meditation classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program.

    7. Also, in consideration for being allowed to participate in this exercise program, I agree to assume the risk of such exercise. I knowingly, voluntarily, and expressly waive any claim I may have and further agree to hold harmless Move with Love, it’s employees and agents from any and all claims, suits, losses or related caused of action for damages, including, but not limited to, such claims that may result in my injury or death, accidental or otherwise, during or arising in any way from the sessions.

    8. In further consideration of being permitted to participate in the meditation classes, I knowingly, voluntarily, and expressly waive any claim I may have against Move with Love, the class instructor, the owner, or the leaseholder of the building for injuries or damages that I may sustain as a result of participating in classes or workshops held at any and all locations.

    I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

    9. All content, videos, routines, and assets are the sole property of Move with Love. Any use, reproduction, or distribution of Move with Love content is strictly prohibited.

  • Format: (000) 000-0000.
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