Registered client? Sign in
Service:Discovery Session add another, change
Staff: Caroline Kelley
Date/time:Wed, May 8 at 4:30 PM (PDT) change

Upon registering for a class you are agreeing to the following industry-standard waiver:


I understand that I am participating in Mindful Exercise classes, Health Programs, and/or Workshops offered by Caroline Kelley during which I will receive information and instruction about movement and health. I understand that the practice of Mindful Movement involves physical exertion that may be strenuous and may cause injury, and I am fully aware of the hazards involved. I also understand that it is my responsibility to consult with a physician prior to and regarding my participation in Mindful Movement, Health Programs and/or Workshops. I represent and warrant that I have no medical condition that would prevent my full participation. I agree to assume the full responsibility for any risks, injuries or damages, known or unknown, that I may incur as a result of participating in these classes or workshops. I knowingly, voluntarily and expressly waive any claim I may have against Caroline Kelley for injury or damages that I may sustain as a result of participating in the classes or sessions. I, my heirs and legal representatives forever release, waive, discharge and covenant not to sue Caroline Kelley for any injury or death caused by her negligence or other acts. I acknowledge that it is my responsibility to inform the instructor when I begin a class of any injury or other condition that might affect my ability to participate, and to inform the instructor at each class I attend.

Thank you, I'm looking forward to seeing you soon!

Registered user? Sign in
First name*
Last name*
Email*
Phone*
Emergency Contact Info*
Please provide the name and phone number of a person we can contact in the unlikely case of an emergency.
Street address*
Please provide your address, just in case of emergency.
City, state, zip*
* required field
 
You must place a card on file to book appointment.