Mindfulness Group for TG/NB
Please complete this form prior to each group to let us know that you're coming. Each attendee (including your ally friend/partner/family member) should complete this form. Additionally, it will serve as a release of liability. Thank you!
I hereby agree to the following: 1. I am participating in classes during which I will receive information and instruction about mindfulness and meditation. I recognize that I may also choose to do physical movement, such as sitting, standing and walking meditation. I represent and warrant that I have no physical or mental health condition that would prevent my safe participation in meditation classes. 2. In consideration of being permitted to participate in the meditation classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program. 3. In further consideration of being permitted to participate in the meditation classes, I knowingly, voluntarily, and expressly waive any claim I may have against any representative of Deb Horton Counseling, the class instructor, the owner, or the leaseholder of the building for injuries or damages that I may sustain as a result of participating in classes or workshops held at The Concord Center. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above by typing my name below: *
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