Informed Consent For Yuan Gong


Please read the following carefully and if in agreement, complete to sign the form. You will receive a email with a static Zoom link and more information for class once your submission is complete. Please do not share your link with anyone. Information is used for Mind Over Mountains Movement, Inc. purposes only and will be kept confidential. Thank you!
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Yuan Gong or Ren Xue practices are not intended to take the place of my own regular medical care or be a substitute for medical care.

If I have concerns, I will consult my doctor before participation.

I will go at my own pace throughout the class. If at any time, I need to stop, sit down, lay down, get water, leave the class, I will do so, and I will let the instructor know if I need additional assistance.

I have read, fully understand, and agree to the terms above. I am signing this agreement voluntarily and recognize that my signature serves as a complete and unconditional release of all liability to the greatest extent allowed by law I or my representative agree to full release, and to hold harmless Mind Over Mountains Movement, Inc. (MOMM, Inc,) from and against any and all claims or liability of whatsoever kind or nature arising out of order in connection with its classes and sessions

 I also agree to receive emails from MOMM, Inc. which will be informative regarding class schedule and other updates, but understand that I can unsubscribe at any time.
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