I am aware that this program involves physical activity, and that I may be performing activities that will challenge my balance, cause an increase in heart rate, blood pressure and other physiological changes, and also that some aspects of the class may also involve light physical contact.

I realize that this participation may involve risk of injury and some of these risks may result from underlying medical conditions, limitations or illnesses that I may have.

I fully release and discharge Star City and the Coaches and Assistant Coaches of the Hunyuan Taiji-Qigong Association from any and all claims, suits, demands, cause of action, damages or liability for any injury, accident or harm, including death which is in any way related to participation in the Taiji-Qigong program, except where such accident and/or injury and /or harm is directly caused by or directly results from the gross negligence or willful misconduct of any of the above parties. My release of liability not only includes Star City, Hunyuan Taiji-Qigong Association and their representatives, but also includes those acting on their behalf and covers any first aid provided to me.