Participant Release and Waiver Form

  • This Release and Waiver (“Release”) executed on 07/16/2024 by the Participant releases Institute for Creative Mindfulness, Inc., its subsidiaries and affiliates, directors, officers, faculty, consultants, employees, and agents, and their respective successors and assigns (“ICM”) from all liability relating to the activities described below. The Participant desires to participate in a voluntary movement-based course such as yoga, dance, self-defense, or other expressive movement offered by ICM’s faculty, consultants, or affiliates (“Course”).

    In consideration for my participation in the Course, I, the Participant, agree as follows:
  • Emergency Contact

  • Signature

  • By signing below, I express my understanding and intent to enter into this Release willingly and voluntarily.
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