New/Full Moon Soundbath Registration Form

Full Moon Circle & Soundbath at Graye’s Greenhouse

✨🕯️***Friday 11/15 from 7-8pm🕯️✨
We will be doing some breif prompted journaling followed by a slowstretch and soundbath, then enjoying light refreshments and havin a little community plant swap☺️🌱feel free to bring any plants/seeds/clippings to share with the group—*not required tho, just for fun✨~each guest will also receive 1 plant from the greenhouse and atleast 1 water propogation clipping💚
Name

First NameLast Name
Pronouns

She/HerHe/HimThey/Them
Email
example@example.com
Date of Birth

MonthDayYear
Date
Soundbath Meditation Waiver
I First Name Last Name hereby affirm that I am voluntarily starting a course of instruction in yoga/sound meditation on Date at Location/or Online . I am voluntarily participating in the activity entirely at my own risk.
In full consideration of the risk of injury while participating in the Activity, and for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives,knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity,their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives,predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Activity, which may include, but are not limited to, physical or psychological injury, pain,suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the trainer or instructor (Tonya Poole or "Lady of the Leaf") from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.
I agree to the above waiver

Yes
~If under 18, parent/guardian's full name & phone number as well please:
Cost for event is $20~please venmo upon registering to save your space: My venmo is Tonya-Poole-3 (linked in IG bio @terracotta.tonya) **if you do not have venmo please shoot me a message to setup other form of payment🙏✨

Venmo payment todayMessaged @terracotta.tonya on ig today to pay w/ a card on square or Paypal
Any questions or concerns about the event/or soundbaths in general:
Should be Empty:

Full Moon Circle & Soundbath at Graye’s Greenhouse

Soundbath Meditation Waiver