Waiver

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CONSENT AND LIABILITY RELEASE AGREEMENT

In consideration of participating In Trauma Informed Yoga training, by Kate Shipp, The Window Within LLC, I hereby declare as follows:

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That Kate Shipp has informed me, and I am aware, that she is not licensed under the laws of this state to practice any form of medicine. That she has stated she will neither diagnose nor prescribe for any condition or problem from which I may appear to be suffering.*

I understand this is a non-licensure program, and this training does not allow me to call myself a licensed or certified trauma therapist.*

I understand and agree that in participating in any movement class or workshop that there is a possibility of physical injury. The Window Within, LLC, Kate Shipp recommends that I check with my physician before engaging in this class, and I have done so, or made a decision that I do not need to do so.*

I understand that this is a one-time training. Any time I miss during this training is can and will affect my completion. This is a complimentary, one time offer. No make-up sessions will be provided.*

I understand that this training will be recorded, and may be used for future educational and marketing purposes. I consent to the recording of my person, and my participation is completely voluntary, and will seek no compensation for my contribution.*

I, my heirs, or legal representatives, do hereby waive and release Kate Shipp and The Window Within, LLC from any and all liability and responsibility from injury, accident, illness, legal and medical fees sustained now or in the future resulting from this training.*

That the said individual has informed me, and I understand that no guarantee or promises of cures have or will be made to me and that any benefits which I experience come from within my own awareness and self-knowledge.*

I understand this training includes yoga philosophy and postures, breathwork, meditation, and some teachings on the neuroscience of trauma. I understand that none of these modalities is a substitute for medical treatment for you or students you will teach at a later date.*

Waiver of Liability/Hold Harmless: By signing this liability waiver, I agree and acknowledge that I may be giving up important legal rights and remedies available to myself. For value received, I agree on behalf of myself that I assume all risks and waive any liability of any nature whatsoever against and agree to hold harmless The Window Within, LLC, Kate Shipp and associated staff with respect to any and all actions, claims or demands that may be made or brought on our behalf against The Window Within, LLC, Kate Shipp and associated staff, Positively Fitt LLC, and Chrissy Shaver, arising out of or in connection with travel to/from and at attendance at this training. Further, for value received, for any injury to third parties that may arise because of my actions or omissions, I agree to hold harmless and defend The Window Within, LLC, Kate Shipp and associated staff with respect to any and all actions, claims, expenses or demands arising there that may be made or brought against The Window Within, LLC, Kate Shipp and associated staff , including but not limited to reasonable attorneys’ fees and expenses arising in connection therewith.*

That my true and legal name is signed below and not otherwise.*

I have read and understood the content of this form. I hereby certify that I have read the foregoing and fully understand the meaning and effect thereof, and intending to be legally bound, have signed it.

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