Unbroken Circles Waiver / Email Opt-In
Before receiving services from UnbrokenCircles, all participants must agree to the following Waiver and Release Agreement. Please complete the form to submit your electronic signature.

This Form is your digital waiver and opt-in to the email list for future classes.  If you'd like to opt out of the email list, you may do so at any time by letting me know you'd like to be removed :)

Purchase or donation not required for participation in these classes.  The only thing I require for your participation is your email and your completion of the waiver below.  

My local studio where I teach Yin Yoga on Wednesdays at 8pm PST is Woodlawn Yoga https://woodlawnyoga.com/.  These classes are $15/drop in.

To join my Facebook Group where I post other updates on classes, workshops, and tips/tricks for using Yin as a tool of rest, click here https://www.facebook.com/groups/142329651048916
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How did you find UnbrokenCircles *
What is your name? *
What is your email? (where you will be sent a link for class/a session) *
What time Zone are you in?  I am teaching in the PST time zone, but am flexible to offer classes based on the time zones of those interested.   *
Is there anything you want me to know about you in relation to your participation in Services? Please describe anything I should know below.  Know that by signing up to participate in these classes, you are also completing a liability waiver and I can offer modifications and suggestions, but am not a medical provider.  You should always consult with a medical provider who knows your medical history for those types of questions.  I am here to guide and offer space to help you help yourself, your nervous system, and find rest.
As the student taking classes or workshops with UnbrokenCircles, I understand that UnbrokenCircles classes include physical movements and exertion. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in UnbrokenCircles classes, whether in-person or online. I represent and warrant that I am in good health and physical condition and I have no medical condition which would prevent my full participation in UnbkorenCirlces classes, whether in-person or online. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature below verifies that I have my physician’s approval to participate. In consideration of being permitted to participate in UnbkorenCirlces classes, whether in-person or online, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program. In further consideration of being permitted to participate in UnbrokenCircles classes, whether in-person or online, I expressly irrevocably release and waive any claims that I have now or may have hereafter for any reason against UnbrokenCircles, its owners, employees and independent contractors, for injury or damages that I may sustain as a result of participating in a class, whether in-person or online *
THANK YOU for your work.  Having worked in social work by varying titles for a decade, I know that you don't often hear this.  The goal of offering this is to offer a space for you to take an hour-ish of your time for YOU.  You give throughout your days to others and you and your nervous system deserve an hour to rest, relax, pause, and heal.  I have a few classes/meditations uploaded to YouTube and am new to venturing into moonlighting as a yoga teacher and meditation guide.  I appreciate you coming along this journey with me and want you to remember that YOU have the ability to make it through this AND you are only human.  
Take care, rest, relax, and know that I have no expectations that you will participate beyond clicking into my classes (camera on or off), but I will stick around 10 minutes before and 15 minutes after class for anyone needing / wanting more connection.    For additional things you can do on your own time : https://www.youtube.com/channel/UCE_ZiA_yQQWG-L9vxE53-gQ/ 
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