Waiver & Release Form

I, the undersigned, fully understand that this session/class/workshop/training is educational and that I am solely responsible for my health, safety and well-being while participating in person or online.  In addition, I agree to assume all risk of damage or injury that may occur as a result of my participation.

 

I agree that I will inform my instructor of any activity which I cannot safely perform, and that I will not perform or attempt to perform any activity which I feel is likely to cause me to injure myself in any way.

 

I agree to hold harmless, release and discharge Nancy Boudreau and Nancy Boudreau LLC, from any and all claims, demands and actions of any nature, whether present or future, anticipated or unanticipated, known or unknown, that may result from my participation in any and all sessions/classes/workshops/trainings that I attend.

 

If I am under the care of any physician, counselor, therapist, etc. I have received permission from them to attend this session/class/workshop/training.

 

This session/class/workshop/training is not intended to diagnose, treat or replace current medical practices. No discussion should be taken as fact or advice.  All services provided are not a substitute for professional services and it is advised that you seek advice from relevant qualified experts as needed. 

 

I affirm that all of the information I provide is complete and accurate and I am initially and submitting the liability waiver under no duress, without inducement, promise, or guarantee.  

Liability Waiver
Do you have a doctor’s permit to participate in intense physical activities?

Thank you for submitting!