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Fascia & Circles
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Essentrics® Liability Waiver
Date of Birth
Do you have any medical conditions? If yes, please specify.
Are you experiencing any constant pain or excessive tightness anywhere in your body? If yes, please specify the areas.
I declare that the info I’ve provided is accurate & complete
PROFESSIONAL DISCLAIMER WAIVER: If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important that you listen to your body, and respect its limits on any given day. I, the undersigned, understand that Essentrics is not a substitute for medical attention, examination, diagnosis or treatment. I know the importance of consulting a physician prior to beginning any physically active program, including Essentrics. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every Essentrics class. I will not perform any postures to the extent of strain or pain. I accept that the instructor is not liable for any injury, or damages, to person or property, resulting from the taking of the class. Those under 18 years of age must have this form signed by a parent or guardian.
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