Have you attended a WAE class with us before?
Please complete the following information:
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Previous yoga/meditation experience
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How did you learn about our WAE yoga class?
Please share anything you’d like the instructor to know prior to class
Do you have any questions on what to expect?
I give my consent to participate in a meditation or movement session with Strong By Nature LLC.
I recognize that exercise carries some risks including but not limited to sprains, strains, dizziness, fainting, discomfort in breathing, and heart attack. I hereby certify that I know of no medical problem that would increase my risk of injury and illness as a result of participation in a yoga class. I have had an opportunity to ask questions and any questions that I have asked have been answered to my complete satisfaction. I understand and expressly assume these risks and voluntarily choose to participate.
I agree that I will not hold Larisa Harrington, Delores Simmons, Adrian (Addy) Waters, Jacquie (Sunny) Barbee, Leticia(Lety) Rodriguez or Strong By Nature LLC responsible for any injuries that I may incur during my participation. I agree to release and discharge Larisa Harrington, Delores Simmons, Adrian (Addy) Waters, Jacquie (Sunny) Barbee and Strong By Nature LLC from any and all claims or causes of action and I agree to voluntarily give up or waive any right I may otherwise have to bring a legal action against Larisa Harrington, Delores Simmons, Adrian (Addy) Waters, Jacquie (Sunny) Barbee or Strong By Nature LLC for personal injury or property damage.
I understand that providing my name, email and today's date on this form serves as an electronic signature
WHAT’S INSIDE (IMMEDIATE ACCESS):
YOU DESERVE THE BEST OF BOTH WORLDS.