Disclaimer Form
Mindful Way Studio, Mokena
Effective Date: January 22nd, 2025
We are delighted to have you at Mindful Way Studio, a community space for holistic arts and wellness. To ensure clarity regarding our offerings and your experience, please review and sign this Disclaimer Form.
1. General Disclaimer
Mindful Way Studio provides services such as yoga, meditation, holistic arts, wellness workshops, and other related activities. These services are intended for personal growth, relaxation, and education.
- Not Medical Advice: Our services, classes, and workshops are not intended to diagnose, treat, cure, or prevent any medical or psychological condition.
- No Substitution for Professional Care: The services provided by Mindful Way Studio are not a substitute for professional medical, psychological, or therapeutic care. If you have concerns about your physical or mental health, please consult a licensed healthcare provider.
2. Participant Acknowledgment
By signing this Disclaimer Form, you acknowledge that:
a. You are solely responsible for your physical, mental, and emotional well-being while participating in our activities.
b. You have consulted with a healthcare professional, if necessary, to confirm that participation in Studio activities is safe for you.
c. You understand that our instructors and staff are not licensed medical or healthcare providers, and no information or guidance provided by them should be considered medical advice.
3. Assumption of Risk
You acknowledge that participation in activities at Mindful Way Studio may involve physical exertion, relaxation techniques, or other activities that could result in discomfort or injury. By participating, you voluntarily assume all risks associated with these activities.
4. Release of Liability
In consideration of participating in Studio activities, you agree to:
- Release and discharge Mindful Way Studio, its owners, staff, instructors, and affiliates from any and all claims, damages, or liabilities arising out of or connected to your participation.
- Indemnify and hold harmless the Studio for any injuries, damages, or losses that occur during or as a result of your participation.
5. Non-Guarantee of Results
Mindful Way Studio does not guarantee specific outcomes or results from participation in any of its programs or services.
6. Media Release
Participants may be photographed or recorded during Studio activities for promotional purposes. If you do not wish to be included, please check the box below:
[ ] I do not consent to the use of my image or likeness for promotional purposes.
7. Acknowledgment and Agreement
By signing below, you confirm that you have read, understood, and agree to this Disclaimer Form. You also affirm that you are of legal age or have the consent of a parent or legal guardian to participate in Studio activities.
Participant Name (Printed): _________________________________
Signature: _______________________________________________
Date: _______________________
Emergency Contact Name and Phone Number: __________________________
If applicable:
Parent/Guardian Name (Printed): _____________________________
Parent/Guardian Signature: __________________________________