Waiver and Release of Liability

By participating in this movement class, you acknowledge that physical activity involves inherent risks, including the possibility of injury.

You agree to assume full responsibility for any injuries or damages that may occur as a result of your participation.

You hereby release the organizers and instructors from any liability for injuries sustained during the class.

Please consult a physician before beginning any exercise program.

I recognize that I am free to leave this class and/or modify any exercise at any time.

I understand that no photos, videos, or audio recordings taken during the class will be used for anything other than for the personal reference of Julie Middleton Movement and Wellness without me first offering separate consent.

For parents/guardians signing for participants under the age of 16, I represent that my child(ren) is/are in good physical health and do[es] not suffer from any medical condition(s) that would limit their participation in the classes offered by Julie Middleton Movement and Wellness. I understand that Julie Middleton Movement and Wellness will allow me to use the same class package for multiple children. I represent that, although only one child's name appears on this profile, the standards set forth by this waiver apply to all children participating. I acknowledge that this waiver applies to all children that I give permission to to participate in classes and events with Julie Middleton Movement and Wellness.

This signed waiver is valid for all participation in movement classes led by Julie Middleton Movement and Wellness until such classes are no longer available.