Class Waiver Form

All class participants must sign a one-time waiver form prior to your first class. 

I, ________________________________________________, acknowledge that I am willingly participating in activities, services, and/or coaching provided by The Davenport Companies, LLC, dba Living Rhythms Healing Arts (hereinafter referred to as “Provider”). I understand that participation in these activities, services, and coaching   may involve inherent risks, including but not limited to: physical injury (such as sprains, strains, or fractures), illness, emotional distress, or, in rare cases, serious injury or death. These risks may arise from, among other causes, physical exertion, the environment (including weather conditions such as heat or humidity), equipment failure, or interactions with other participants. I voluntarily assume all risks, known and unknown, associated with participation in these activities, regardless of whether such risks are specifically identified herein.

I certify that I am in good physical and mental health and that I am capable of participating in the activities I choose to undertake. I affirm that I have consulted with my physician or other appropriate healthcare provider(s) to ensure that my participation will not pose any health risks to myself or others.

I acknowledge that it is my sole responsibility to disclose any physical, mental, or emotional condition that may affect my ability to safely participate in any activities offered. I agree to communicate any such concerns to the Provider prior to participation.

I acknowledge and understand that, as part of the instruction or facilitation provided by Living Rhythms  Healing Arts, I may be touched by instructors, staff, facilitators, or authorized contributors in the course of  their professional duties. I understand that such physical contact may be used for the purpose of guiding movement, correcting alignment, demonstrating technique, offering support, or enhancing the learning experience.

a. I further acknowledge that Provider will make reasonable efforts to obtain my verbal consent prior to any intentional physical contact. I understand, however, that certain dance forms and somatic practices may involve spontaneous or close physical proximity or contact with instructors or other participants, which may not always allow for advance verbal consent.

b. By participating in these activities, I voluntarily accept and consent to the possibility of such physical contact, I release and hold harmless the Provider and all associated instructors, staff, facilitators, and contributors from any and all claims, demands, or liabilities arising out of or related to physical contact occurring in the normal course of instruction or participation.

I grant permission to Provider to use my photograph(s), voice, and/or likeness for any marketing and promotional purposes. I understand that my likeness may be used in print, online, or social media and that     no royalty, fee, or other compensation shall become payable to me by reason of such use. I understand I have the right to notify the Provider, prior to the start of any activity, should I not wish to have my likeness used.

To the fullest extent permitted by law, I hereby release, waive, and discharge The Davenport Companies, LLC, dba Living Rhythms Healing Arts, its owners, instructors, contractors, affiliates, agents, employees, and associates from any and all claims, liabilities, damages, or causes of action arising out of or related to any loss, injury, or harm I may sustain during, or as a result of, my participation in the Activities, whether caused   by negligence or otherwise.