INFORMED CONSENT/WAIVER AND RELEASE

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As a participant in any exercise program or wellness therapy it is important to inform the

instructor/therapist of any injuries or health issues that may prevent you from participating safely

in any class, workshop or treatment. Please consult your doctor before beginning a new

exercise routine.

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I will not hold Patricia Pulcine or Peaceful Warrior Wellness Studio responsible for any injuries or actions arising out of or in any way connected with my participation with Patricia Pulcine or at Peaceful Warrior Wellness Studio.

 

I acknowledge that a risk of personal injury may be involved in the exercises and practices of

Yoga, Suspension Yoga, and movement therapy and I understand that it is my responsibility to not perform any

Yoga, Suspension Yoga, and/or movement therapy postures or exercises that cause me pain or discomfort.

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I also acknowledge and accept that in a professional manner, physical contact may be required

for instruction and/or correction.

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Authorization of this Document will waive certain Legal Rights, including the right to sue.  

I hereby agree to the following:

 

1. I am participating in Yoga and Suspension Yoga classes offered by Patricia Pulcine during  which I will receive information and instruction about the YogiGym Suspension Sling and other yoga props and equipment. 

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2. Yoga instruction and the YogiGym Suspension Sling is not a substitute for medical attention, examination,  diagnosis or treatment. I understand that it is my responsibility to consult with my  physician prior to and regarding my participation in these classes if I have an existing  medical condition or injury.  

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3. I realize that it is my responsibility to notify my instructor of any illnesses or injuries  before every Yoga or Suspension Yoga class.  View a list of contraindications.

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4. I understand that Patricia Pulcine's Yoga and Suspension Yoga classes involve physical activity and  even with the best of intentions it is possible that injuries may result or prior conditions  may be aggravated. If I should experience any discomfort or strain, I will listen to my  body, gently come out of the pose and ask for support from my instructor.

 

5. In consideration of being permitted to participate in Yoga and Suspension Yoga classes, I freely  accept and assume full responsibility for any risks, injuries or damages, known or  unknown, which might incur as a result of my participation in the program.  

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6. I hereby knowingly, voluntarily and expressly release my instructor, Patricia Pulcine or  any other teachers conducting classes on her behalf at Peaceful Warrior Wellness Studio,  from any and all liability for any injury or damages that I may sustain as a result of  participating in the classes.  

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7. I agree to waive any and all claims, actions or causes of any kind whatsoever which I or  my heirs, executors, estate trustee, administrators, assigns or representatives may have in  the future against Patricia Pulcine or Peaceful Warrior Wellness Studio. 

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I have read and fully understand the above release and voluntarily agree to the terms and  conditions stated above.