Release of Liability & Acknowledgment of Risk

Welcome to the Monday Night Contact Improv Jam. We’re excited to co-create this space of movement, connection, and exploration. As with any physical activity, Contact Improvisation carries inherent risks. Please read and acknowledge the following:

Sign in to Google to save your progress. Learn more
Name: *
Email: *
Phone:
How would you like to be notified about upcoming event details?
Clear selection
Waiver of Liability

By signing below, I acknowledge and agree to the following:

  1. Voluntary Participation: I am voluntarily participating in the Contact Improv Jam with full knowledge that this activity involves physical movement and potential risks of injury.

  2. Assumption of Risk: I understand the nature of Contact Improvisation and assume full responsibility for any injuries or damages that may occur during my participation, whether caused by my actions or the actions of others.

  3. Responsibility for Self & Others: I agree to move with awareness and care, to honor my boundaries and those of others, and to communicate clearly when needed.

  4. Consent & Touch: I understand that this is a consensual, contact-based practice, and I am free to say “no” or set boundaries at any time. I will also respect the boundaries and signals of others.

  5. Release of Claims: I release and hold harmless the organizers, facilitators, venue owners, and fellow participants from any and all liability, claims, demands, or causes of action arising out of or related to any injury, loss, or damage I may experience during the event.

  6. Health Statement: I affirm that I am in good physical condition to participate, and will refrain if I am feeling unwell or am recovering from an illness or injury.

Signature (Typed Name):  *
Date:  *
MM
/
DD
/
YYYY
*
Required
Media Release (Optional): *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report