2024 New Student Waitlist
Fill out this form to join our Coven! Should only take you about 1 minute!
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Personal Growth and Community
Physical Fitness
All the Witchy Things!
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Tell us a little bit about yourself. What drew you to our community and brings you to our waitlist today?
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We can't wait to connect with you. When is the best time to reach you for a quick phone call?
11am- 1 pm weekdays
4:30-6:30 pm weekdays
Saturday Morning
One word to check in before you go! How are you feeling about starting something new?!
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RELEASE & WAIVER OF LIABILITY, ASSUMPTION OF RISK, & INDEMNITY AGREEMENT -
In exchange for permission to participate in Thrive Embodied Arts, LLC dance, movement and embodiment programs and/or events, I hereby enter into the following release and waiver of liability assumption or risk and indemnity agreement. I, for myself, my heirs, spouse, executors, administrators, personal representatives, and assignees, waive, release, discharge, indemnify, hold harmless and agree not to sue Thrive Embodied Arts, LLC , its officers, directors, shareholders, employees, agents, landlords, lessees, sponsors, representatives volunteers, affiliates, and franchisees (hereafter the “Released Parties”) from any and all liability, responsibility, damages, losses, claims, demands, actions, suits, judgments, costs and expenses (including attorney’s fees) resulting from personal injury, accidents, illness, death and/or property loss caused in any manner, including the simple, active or passive negligence of the Released Parties, by my participation in theThrive Embodied Arts, LLC dance, movement and embodiment programs and/or events. PLEASE INITIAL TO CERTIFY THAT YOU HAVE READ AND UNDERSTAND EACH STATEMENT:
I acknowledge that Thrive Embodied Arts, LLC dance, movement and embodiment programs and/or events have the ability to stress the heart, lungs, cardiovascular and circulatory systems, muscles, joints, ligaments and tendons in an attempt to improve muscular strength, flexibility, and cardiovascular health.
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I acknowledge that some medical conditions, injuries, and illnesses may create unsafe and seriously harmful circumstances for myself and those training me and I agree to not participate unless I have approval from a medical professional. I agree to notify Thrive Embodied Arts staff members of any old, new, or existing injuries or medical/physical conditions.
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I acknowledge I have been advised to consult with my physician with respect to any past or present injury, illness, cardiovascular problem, joint problem or any other condition or medication that may affect my participation and ability to participate in and to endure any exercise programs, and knowingly assume all risks relating to my participation in the Thrive Embodied Arts dance, movement and embodiment programs and/or events.
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I understand that the Thrive Embodied Arts, LLC’s staff are not qualified to teach prenatal fitness/movement and therefore, I agree to not participate in Thrive Embodied Arts programs while pregnant without the consent of a physician.
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I understand that Thrive Embodied Arts, LLC’s programs are designed for individuals 18 years and older in good health.
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I certify that I am 18 years old or older.
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I understand that it is strictly against Thrive Embodied Arts, LLC’s policy to participate in any activity while impaired.
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I acknowledge that I may inadvertently be photographed or recorded while on the Thrive Embodied Arts, LLC premises. I understand that if I do not want to be recorded, that I will be aware of my surroundings and avoid exposure when my peers are using recording devices. Likewise, I will do my best to respect others when using a device myself.
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I acknowledge that I have discussed with my physician the appropriateness of Thrive Embodied Arts, LLC dance, movement and embodiment and fitness programs in connection with any illness or condition that I now have or have previously had, and that I will discuss any future illnesses or conditions with my physician prior to continuing any exercise programs. I acknowledge that I am personally financially responsible for any medical or other treatment needed as a result of my participation in the Thrive Embodied Arts, LLC dance, movement, embodiment and fitness programs and/or events.
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I acknowledge that partaking in spiritual and embodied practices engages in energetic shifts and healing practices which are not to replace the needs of medical treatment if deemed necessary for pre- existing conditions of both mental, physical and emotional health.
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I knowingly execute this agreement freely and voluntarily and intend this to be a complete and unconditional release of all liability to the greatest extent allowed by law. I certify that I have read this agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. This agreement is intended to be as broad and inclusive as permitted by law. If any portion of this agreement is held invalid, the remaining portions will continue in full force and effect. Participant Signature
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Do you agree to allow Thrive Embodied Arts to contact you via Text Message with the number you provided above. You can opt out at any time by replying stop.
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