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Waiver and Release Form

Release and Waiver of Liability:

  1. The information I have provided in the Booking Form, Release & Waiver of Liability is complete and accurate.

  2. I understand that I am participating in mindfulness, meditation, yoga sessions, events, private sessions, either in-person or online offered by DeAnna Houston during which I will receive instruction about mindfulness, yoga, health and wellness. I recognize that yoga requires physical exertion that can be strenuous. I am fully aware of the risks involved.

  3. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in yoga conditioning. I represent and warrant that I am physically fit and have no medical conditions that would prevent me from participation in yoga conditioning sessions. I assume full responsibility for any injuries or damages, known or unknown, which I might incur as a result of participating in yoga conditioning sessions.

  4. I knowingly, voluntarily, and expressly, waive any claim I may have against DeAnna Houston for injury or damages that I may sustain as a result of participating in the program. I acknowledge that I have carefully read this “release and waiver form” and fully understand that it is a release of liability. I expressly agree to release and discharge DeAnna Houston from any and all claims or causes of action and agree to voluntarily give up or waive any right that I may otherwise have to bring legal action against DeAnna Houston for personal injury or property damage.

  5. This waiver applies regardless of whether you are using exercise equipment at the time of the injury or whether your injury occurs as a result of your presence upon the premises regardless of purpose or activity at the time of the injury-causing incident.

  6. I understand that any somatic, embodiment, or nervous-system–based practices offered by DeAnna Houston—including Somatic Experiencing–informed approaches, somatic coaching, and energy-based practices—are educational and supportive in nature. I acknowledge that these services are not psychotherapy, mental health treatment, or medical treatment, and that DeAnna Houston is not acting as a licensed mental health provider. I understand that any emotional release or physical sensation that may arise during sessions is a natural response to somatic and mindfulness practices, and I take full responsibility for my own physical, mental, and emotional well-being during and after sessions. I agree to seek professional mental health or medical support when needed and understand that somatic practices are not a substitute for such care. I release and discharge DeAnna Houston from any and all claims arising from my participation in these somatic or somatic-informed practices.

  7. Participant agrees and covenants not to sue or otherwise attempt to hold DeAnna Houston for any injuries regardless of the cause.

  8. This waiver and release agreement is intended to be as a broad as is allowed under the applicable law and applies to any and claims for damages, regardless of whether they are allegedly caused by the negligence of DeAnna Houston.

  9. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of DeAnna Houston.

  10. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed herefrom. By signing this release, I acknowledge that I understand its content and that this release cannot be modified orally.​​​​

  11. I give DeAnna Houston permission to add my email address to their email mailing list so that I may receive periodic updates on classes and events. I understand that I may unsubscribe from the email list at any time. I also understand that even if I didn’t opt into receiving such notification, I understand that DeAnna Houston may still send me emails including important information about the Programs, such as class cancellations.

  12. I grant DeAnna Houston permission the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, for the purpose of publication, promotion, illustration, advertising, in any manner or in any medium. I hereby release DeAnna Houston for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

Waiver and Release Form

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