Virtual session waiver - Active Seniors

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Name*
First Last
Date*
MM slash DD slash YYYY
Our responsibility to you is to use our clinical knowledge to ensure that you are only asked to perform what we consider to be both safe and appropriate. We will guide and supervise you to the best of our abilities to keep you as safe as possible. It is your responsibility to inform us of any concerns, pains or other symptoms that you may experience while you are under our care. Please stop immediately if you experience any pain, severe shortness of breath, dizziness or nausea. Please alert the staff member supervising your session of any difficulties or concerns you have throughout the session.*
- By ticking this box you agree to the above conditions while participating in the class

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