Mindfulness with Debie Lee
Waiver of Liability & Appearance Release
I recognize that there is a risk in participating in this Mindfulness Meditation Course. I personally and fully assume responsibility for this risk.
Please note: This training does involve gentle physical activity and if there are concerns, please inform Debie, in writing, of your concerns and consult a physician before engaging in these activities.
I waive and release any and all claims to any damages I may have against teacher and location, arising out of the training and the location, in the training classes in which I am applying to participate, for any and all injuries sustained during classes, whether or not damage or injury is sustained through negligence. I further waive and release any claim to damages I may have against teacher, and location, as to any and all injuries sustained on their property or in any public location whether or not damage or injury is sustained through negligence.
I hereby consent to photography and video recordings of my person, during the training session, for singular use or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes. I consent to my appearance being used without compensation for use in any and all media.
I further consent to the reproduction and/or authorization by teacher and location to reproduce and use said photographs and video recordings, for use in all domestic and foreign markets.
I hereby release teacher and location, any of its associated or affiliated companies, their directors, officers, agents, employees and customers, and appointed advertising agencies, their directors, officers, agents and employees from all claims of every kind on account of such use.
I, ____________________ have read this release and approve of its terms.
Print Name: _____________________ Signature: _______________________ Date: ___________________________
This is sample content, included with the template to illustrate its features. Remove or replace it with your own words and media.
Quotes to live by
The way to get started is to quit talking and begin doing.
Walt Disney
It is our choices, Harry, that show what we truly are, far more than our abilities.
J. K. Rowling
Don’t cry because it’s over, smile because it happened.
Dr. Seuss