In checking the box below, and electronically signing, I agree that Mindful Movement and the trainers working in it is in no way responsible for the safekeeping of my personal belongings while I attend class.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 classes offered at Mindful Movement . I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any form of exercise, program, or workshop at Mindful Movement . I understand the risks associated with the activities offered by Mindful Movement , and I understand that I may choose to not participate or perform any exercise at any point in time .I hereby WAIVE AND RELEASE Mindful Movement , its owners, officers, employees, and instructors, from any claim, demand, cause of action of any kind resulting from or related to my use of the facility. In engaging in personal training or group class, 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 personal training or participation in group activities .I voluntarily participate in physical activity with full knowledge that there is risk of personal injury or possible property loss. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against Mindful Movement or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.

Name *