Qigong Student Participation Waiver

QiCurious Qigong, LLC

Instruction by Jennifer C. Delich

I understand and agree that in participating in any qigong class, workshop, or coaching session there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me during any instruction or practice presented by Jennifer C. Delich of QiCurious Qigong, LLC.

I or my representative(s) agree to fully exempt, release, indemnify and hold harmless Jennifer C. Delich and QiCurious Qigong, LLC from and against any and all claims, demands, causes of action or liability of whatsoever kind or nature arising out of or in connection with participation in any classes, workshops, or coaching session(s) provided by Jennifer C. Delich and QiCurious Qigong, LLC.

I further hereby voluntarily agree to waive my rights and those of my heirs and assigns to hold Jennifer C. Delich and QiCurious Qigong, LLC, its owners, agents, volunteers, assistants, employees, and/or students liable for such damage, loss, injury, or death.

In no event does Jennifer C. Delich or QiCurious Qigong, LLC make claims to heal any illness or condition. Qigong is not a treatment or substitute for medical, mental or emotional counseling with a licensed healthcare provider. I agree to consult with my primary doctor for all health-related concerns. I understand that I should be aware of my physical limitations and agree not to exceed them.

I have read, understood and agree to be bound by the above statements. I am digitally signing this agreement voluntarily and recognize that my digital signature serves as complete and unconditional release of all liability