Viviendo a Plenitud | Liability Waiver & Registration (Group Sessions) 
Lea y complete antes de las sesiones con Lorena Saavedra Smith
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Email *
Nombre y Apellido *
Correo electroico *
Dirección complete con ciudad y Pais  *
Numero de telefono  / WhatsApp  *
A que grupo de edad perteneces *
Genero *
Describa su origen étnico o raza *
¿Qué tan estresad@ te sientes a menudo durante el año?
*
Nada estresado
Extremadamente estresado
What are some common causes of stress in your life?
*
¿Cuáles son algunas causas comunes de estrés en su vida? *
¿Tiene alguna lesión física? si o no | En caso que si, por favor expliqué.  *
Please read and sing: I agree that Holistic Coaching and Movement Therapy with Lorena is in no way responsible for the safekeeping of my personal belongings while I attend sessions. I understand that sessions may be physically strenuous, and I voluntarily participate in them with full knowledge that there is risk of personal injury, property loss or death. Holistic Coaching and Movement Therapy is not a substitute for medical attention, examination, diagnosis, or treatment. Holistic Coaching and Movement Therapy is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to participate in these sessions. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against Holistic Coaching and Movement Therapy with Lorena, its staff, private contractors or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.
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