Summer Session Virtual Sessions Equipment Purchase & Registration

Full Name Last Name

First Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Option 1: Equipment Purchase + Sessions

Option 2: Sessions Only (I already own equipment)

Option 3: Attend Hosted Session with Equipment Provided

I understand that the BALLance Method® involves guided movement, breathwork, and use of specialized equipment designed to support spinal decompression, alignment, and overall well-being. I certify that my physical condition in not a contraindication of the method and have disclosed any injuries, medical conditions, or limitations that may affect my participation.

I agree to participate voluntarily and at my own risk.
I confirm I’m physically able to participate or have received medical clearance to participate in movement modalities.
I accept full responsibility for any injury or discomfort that may occur.
I release the instructor, facility, and affiliates from any liability.
I will not reproduce, teach, or share the method without certification.

Check all that apply:

I agree to the Release of Liability Above

I agree to the use of my image, voice. statements for promotional purposes

Signature

After you submit your registration below, you will be redirected to complete your payment.

Summer Session Virtual Sessions Equipment Purchase & Registration

Choose ONE Option Below:

Waiver

Payment