Agreement of Release and Waiver of Liability
Please fill out this form before engaging in any of Movement Practice classes, workshops or events.
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Agreement of Release and Waiver of Liability
Selecting "I agree" to the below statement constitutes a digital, binding signature.
I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the class/practice offered by Movement Practice and/or Leilah Kirsten. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the classes, programs, or practices offered by Movement Practice and/or Leilah Kirsten. I understand the risks associated with the activities offered by Movement Practice and/or Leilah Kirsten. I hereby waive and release Movement Practice, its owner, instructors, assistants, employees, guest artists and/or students from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered by Movement Practice and/or Leilah Kirsten. In taking part in the classes, programs, or practices offered by Movement Practice and/or Leilah Kirsten, I understand and acknowledge that I am fully responsible for any and all risks, injuries or damages, known or unknown, which might occur as a result of my participation in the classes, programs, practice or any other activities. I have read the above release waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above. *
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Thank you!
Move with you soon.

Kind Regards,
Leilah
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