Workshop Agreement
The Mindfulness Center of Chester 1663 NY-17M, Chester, NY 10918
Name
*
First Name
Last Name
Email Address:
*
example@example.com
Do you have any medical conditions, injuries, sensitivities, or concerns we should be aware of?
Emergency Contact Name:
Emergency Contact Phone Number:
Format: (000) 000-0000.
Photo Release
*
I give permission for photos/videos taken during the workshop to be used for promotional purposes.
I do not wish to be photographed.
Cancellation Policy
*
I understand cancellations made at least 24 hours before the workshop may be transferred to a future workshop.
Cancellations made less than 24 hours before the workshop are non-refundable.
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Workshop Agreement
*
I understand this workshop is intended for relaxation, mindfulness, education, and personal wellness purposes.
I understand this workshop is not a substitute for medical, psychological, or professional healthcare treatment.
I understand participation is voluntary and I am responsible for my own well-being during the workshop.
I understand workshop fees are non-refundable unless the event is canceled by the hosts.
Signature
*
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
✨ Thank you for registering. We look forward to sharing this peaceful experience with you.
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