Health Liability Waiver for Nia with Erin Curren
 Please complete this form prior to taking any class or workshop online or in-person with Erin Curren.
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Please type your First and Last Name below: *
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Please read the following and type your name and the date as proof that you agree to these terms and conditions:  ● I assert that my participation in this Nia class, workshop or event is voluntary and at my own risk.  ● I understand my activities may involve physically strenuous exercise and risk of bodily injury. ● With this knowledge hereby release, waive, indemnify and save harmless Erin Curren, Nia Technique, Inc. (“Nia”) and all Nia employees, NiaTeachers and Nia Trainers (“Associates”) from any liability for all claims, demands, and physical or otherwise injuries or harm suffered by my person or property arising out of or connected with my participation and/or use of any services, equipment or facilities provided by the Nia Technique, Inc. and/or Nia Associates.                                         I have carefully read and understand the foregoing provisions. By signing below, I hereby certify and acknowledge I understand and agree to be legally bound by the terms and conditions set forth in the specific provisions under which I have signed my initials. *
A copy of your responses will be emailed to the address you provided.
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