The safety and well-being of my clients’ are important to me, and I hope to provide yoga, massage and other therapeutic sessions that meet the specific needs of each client to the extent possible.  I hold myself to the highest professional standards and hope to meet or exceed your expectations with mutual respect for current state of physical, mental, emotional, spiritual and privacy needs. By signing below, you agree to the following:  

1) I give my permission to receive yoga instruction, massage and/or other therapeutic sessions from Supinda Sirihekaphong who is the sole proprietor of Infinite Support Birth Services.

2) I understand that yoga and other therapeutic sessions offered are not a substitute for medical treatment or medications from a medical health professional.

3) I understand that Supinda Sirihekaphong does not diagnose illnesses, injuries or prescribe medications.

4) I have clearance from my physician to do yoga or receive other therapeutic activities or feel well to participate in these sessions without risking any injury.

5) I understand the risks associated with participating in yoga, massage and/or other therapeutic sessions include, but not limited to short-term muscle soreness and exacerbation of undiscovered injury.  I therefore release Supinda Sirihekaphong from all liability concerning these injuries that may occur during yoga and/or massage sessions.  

6) I understand the importance of providing any information on any medical conditions or recent injuries. I understand that there may be additional risks based on my physical condition.  I agree to assume all risks associated with participating in the yoga, massage and/or other therapeutic sessions and agree to assume full responsibility for any injuries, losses, or other damages that I may suffer as the result of my participation in the Sessions.

7) I understand that it is my responsibility to communicate any discomfort I may feel during the session so adjustments may be offered accordingly.  

8) I understand that I or the massage therapist may terminate the session at any time.

9) I have been given a chance to ask questions about the sessions and my questions have been answered.

10) I hereby release, indemnify and hold harmless Supinda Sirihekaphong from any and all claims, demands, personal injuries, costs, or expense, (including attorney’s fees) arising from or relating in any way to my participation in the yoga , massage and/or other therapeutic sessions offered.