Meditation in Motion LLC

Waiver Form

I hereby request and consent to participating in one or more sessions (the “Sessions”) provided by Meditation in Motion, LLC, a California limited liability company (“MIM”) taught by Jennifer Yoo or Julie Barrios (the “Instructor”) at one or more locations in California (each of which will be referred to as the “Property”).

Movement: I understand the Sessions may involve physical movements as well as an opportunity for relaxation and relief of muscular tension. I understand that there are significant risks involved with physical training, including but not limited to, the physical training inherent in all movement activities and that my participation in any such physical training program carries with it the potential for death, injury and/or property damage. In addition, I will notify the Instructor and MIM of any medical conditions or physical limitations I have before the Sessions.

Meditation and Spiritual Direction: In the Sessions, I will receive information and instruction about meditation and spiritual direction. I recognize that I may also choose to do physical movement. I represent and warrant that I have no physical or mental health condition that would prevent my safe participation in meditation or spiritual direction classes or services.

Medical: The Sessions are not a substitute for medical attention, diagnosis, or treatment. The Sessions are not recommended and may not be safe under certain medical conditions. By signing this document, I affirm that a licensed physician has verified my good health and physical condition to participate in the Sessions.

Pregnancy: I will notify the Instructor and MIM if I am or might be pregnant so that the Instructor can modify class work accordingly. If I am or might be pregnant, I have confirmed with my primary healthcare provider that it is safe for me to participate. If I am pregnant, become pregnant or I am post-natal or post-surgical, I will notify the Instructor and MIM and my signature verifies that I have my physician’s approval to participate.

Personal Responsibility: I also affirm that I alone am responsible to decide whether to participate in the Sessions and understand that participation is at my own risk. I assume full responsibility for any and all injuries that may I may incur and/or damages and injuries which I may cause through participation in the Sessions. I hereby consent to receive medical or first aid treatment that may be deemed advisable in the event of injury, accident, and or illness during the Sessions, and recognize that there may not be a medical professional in attendance. I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: I (a) irrevocably WAIVE, RELEASE AND DISCHARGE MIM AND THE INSTRUCTOR (and each of their directors, officers, employees, volunteers, representatives and agents) FROM ANY AND ALL LIABILITY for my death, disability, personal injury, property damage, property theft or actions of any kind which hereafter may occur to me in whole or in part related to my participation in the Sessions (including any medical or first aid treatment I may receive), or in my traveling to and from the Sessions; and (b) INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the entities or persons mentioned in part (a) above as to any and all liabilities or claims made as a result of my participation in the Sessions, whether caused by the negligence of such persons or entities or otherwise.

Property Release: I hereby assume full responsibility for, and risk of, any death or bodily injury to myself or others (including, but not limited to, those matters set forth herein) of income and damage to or destruction of my property or the property of others, caused by my use of the Property or my presence on or around the Property, unless and to the extent that such bodily injury or property damage is attributable to the gross negligence or willful misconduct of the owners of the Property. I hereby release, waive, and discharge any and all claims that I may now or in the future have for damages against the owners, occupants, tenants, subtenants and licensees of the Property arising in whole or in part directly or indirectly from my use of the Property or my presence on or around the Property.

Personal Use: I acknowledge that the information taught in the Sessions is the proprietary information of MIM and agree that I will only use it for my own personal use.

Privacy: Since several people are participating in the class at once, Instructor and I will work together to respect my privacy and the privacy of others. I will inform the Instructor of any topics that need extra discretion. If I prefer to give information in a private setting, I will inform the Instructor. If I overhear someone’s private information, I will keep it to myself, as I would want others to do the same for me.

COVID-19: I agree to follow all state, local and federal COVID-19 guidelines and will wear a mask and social distance while on the Property. I represent and promise that in the past 14 days you have not experienced any COVID-19 symptoms, have not traveled and have not had contact with someone diagnosed with or suspected of having COVID-19 and I represent that I have been vaccinated for COVID-19.

I acknowledge that I am participating in the Sessions of my own free will. I understand that the ultimate responsibility for my health care is my own.

I have read and fully understand and agree to the above terms of this Waiver. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the state of California.

For any questions about this Waiver Form or MIM I can email hello@movingmeditation.co. You may opt out of using electronic signatures at any time by emailing hello@movingmeditation.co. If you opt out send a signed copy of the Waiver Form to hello@movingmeditation.co.

I understand that MIM and the Instructor may take images of me. I agree to allow my photo, video, name, voice and likeness to be used for any lawful purpose such as the marketing and promotion of MIM, including on social media and the MIM website.