Waiver and Release of Liability for Groove Medicine

By signing this document, you agree to the following terms and conditions:

1. Assumption of Risk and Waiver of Liability

I, the undersigned, understand and acknowledge that participation in Groove Medicine classes involves physical activity, which may include but is not limited to stretching, dancing, and other movements. I am fully aware that these activities involve inherent risks, including the risk of personal injury, and I voluntarily choose to participate in these activities.

I hereby release, waive, and discharge Groove Medicine, its instructors, employees, agents, and representatives from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me while participating in Groove Medicine activities, or while on the premises where the classes are conducted.

2. Medical Conditions

I confirm that I am in good physical condition and do not suffer from any medical condition that would prevent my safe participation in Groove Medicine classes. If I have any concerns about my health or physical ability, I will consult a physician prior to participating in any activities.

3. Photo and Media Release

I grant Groove Medicine permission to take photographs or videos during classes and events in which I may appear. I consent to the use of these images and recordings for promotional, advertising, and educational purposes on social media, websites, or other platforms. I understand that no compensation will be provided for the use of these materials.

If I do not wish to be photographed or recorded, I will notify Groove Medicine in writing prior to attending any class.

4. Minors

For participants under the age of 18, a parent or legal guardian must complete and sign this waiver on their behalf. Minors will not be allowed to participate without a signed waiver from their parent or guardian.

5. Acknowledgment of Terms

I have read this waiver and fully understand its terms. I understand that by signing this document, I am giving up legal rights, including the right to sue Groove Medicine and its representatives. I voluntarily agree to these terms.

Participant Information

First Name *

Last Name *

Date of birth *

Address

Street Address *

City

State

Country

Phone *

Email *

Participant's Signature *

Clear

Date: *

For Participants Under 18

Parent/Guardian Name:

Parent/Guardian Signature:

Clear

Date:

Emergency Contact Information

Emergency Contact: *

Contact number: *

Relationship: *