Space to Unwind Student Acknowledgement & Waiver

    We work with our students to ensure the most enjoyable and beneficial experience possible during your Classes, Workshops & Hot Stone Restorative sessions. Please assist us by completing the following information (all information is held in the strictest of confidence):


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    Emergency Contact Information:


    Please note any health concerns, injures or other information that your teacher should be aware of prior to your practice:

    About your practice:

    You are responsible for your own wellbeing. By signing (electronic signature) below, you agree that the information provided above has been completed honestly & to the best of your knowledge. You also agree to take on full responsibility for your actions within each class and to work within your own abilities and limits. If you have any inquiries or health concerns, it is your responsibility to notify Tanya, or the class teacher before or during class. If you are in doubt as to your fitness or level of health, please consult your physician before taking this, or any class.

    I agree to the above noted requirements:

    Name:
    Date: