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Rain Soul Studio LLC

rainsoulstudio@gmail.com

406-867-8160

 


WHAT IS YOUR RELATIONSHIP TO MOVEMENT?

Rather than quickly filling out a waiver, consider what movements and activities you enjoy and then consider those you favor less. What is your relationship to those movements and activities; and is there a memory, a moment or a period of time, where that relationship began? The first and most important consideration is identifying what are your physical boundaries as a movement practitioner (a human!). These are highly individual circumstances and can include promises like:

"I will be present to where I feel safe" 
"I can choose to observe, I do not have to participate."
"I will always rest when I feel my breath is erratic."
"I will move slowly until I feel safe in the movement practice."

Your body, your unique physiology, you as a self, have specific needs to feel nourished, supported, and capable. The more aware we become about what those needs are, the more we can find what benefits our system the most. This is the foundation of an individualized movement practice and creating accountability for one self. Please participate or observe in the ways that support your mobility and your curiosity, being mindful of others as you do so. 

I acknowledge that it is important that I exercise ordinary care for the longevity and health of myself and others I share space with, especially while attending a movement or fitness-based class. I will assume the risk of this physical activity with attention to my own physical condition and give myself permission to rest if needed. I am also aware that some movements may be physically demanding and I will listen to what my body/mind need without judgment or criticism.

I have either received advice from a physician or doctor that I am capable of physical exercise such as provided by the instructor (Krista Leigh Pasini or Michael Pasini), or I will seek such advice, or I will assume the risk of participating without a doctor’s examination.

I take complete responsibility for any injuries or loss I may incur as a result of participation and confirm that I have read and fully understand this release of liability and assumption of risk agreement. I fully understand its terms and sign it freely without inducement.

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive occasional updates on classes and workshops by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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