crossfield “TASTE OF FLOW+REST” REGISTRATION FORM

Thank you so much for your interest in practicing together! Please take a moment to complete the registration form below to take part in our

A Taste of Flow + Rest: Experience Before You Commit class in December.

We’ve created a special 75-minute “teaser” class that blends the best of both worlds — gentle movement from our Foundations to Flow series and deep relaxation from our Sacred Rest Restorative with Sound Bath classes.

This class is the perfect way to experience both styles before our full 8-week winter series begins in January. Come explore your body’s rhythm, calm your mind, and experience how these two practices beautifully complement one another.

Classes will be held at the Crossfield Community Hall in the Multi Purpose room, and lead by Crossfield’s very own, Becky (Rebecca Pattison)

-Namaste-

I would like to REGISTER + COMMIT to the December TASTE OF FLOW+REST teaser class with Becky

Please note there is a minimum drop in fee of $5 CASH at the door to attend this class. You are welcome to offer more if called to.

Yes, I want to REGISTER

WAIVER | LIABILITY DISCLAIMER AND NOTICES

Please read carefully before signing I, the undersigned, acknowledge and agree to the following: 1. Voluntary Participation: I am voluntarily participating in yoga classes, workshops, private sessions, or programs offered through M-Powered Living Inc., partnered with Rebecca Pattison (in-person, online live, or pre-recorded). 2. Health Responsibility: I understand that yoga and mindful movement may involve physical exertion that could be strenuous and may carry risks of injury, illness, or aggravation of pre-existing conditions. I affirm that it is my responsibility to consult with a physician regarding my participation and to practice within my personal limits. 3. Assists & Adjustments: I understand instructors may provide verbal cues or physical adjustments. It is my responsibility to communicate my preferences before or during class. 4. Release of Liability: I release, waive, and discharge Marie O’Donnell of M-Powered Living Inc., its instructors, staff, contractors, and partners from any and all claims, demands, or causes of action resulting from participation, including but not limited to personal injury, property damage, or loss, whether caused by negligence or otherwise. 5. Release of Liability: I release, waive, and discharge Rebecca Pattison and partners from any and all claims, demands, or causes of action resulting from participation, including but not limited to personal injury, property damage, or loss, whether caused by negligence or otherwise. 6. Personal Property: I release M-Powered Living Inc., and Rebecca Pattison from any responsibility for loss, theft, or damage to personal belongings while attending programs or classes. 7. Class Policies: I acknowledge that all passes, memberships, and program fees are non-refundable, non transferable, and may not be suspended or extended for reasons including but not limited to vacation. In the case of injury or illness I am allowed to send another person of my choosing to my class in my place. 8. Understanding of Agreement: I certify that I have read this waiver carefully, fully understand its contents, and sign it knowingly and voluntarily. I recognize that this is a legal contract and that I am waiving certain rights.

YES, I ACKNOWLEDGE THAT TICKING THIS BOX IS IN LIEU OF MY PHYSICAL SIGNATURE, AND CONSTITUES MY UNDERSTANDING AND ACCEPTANCE OF THE WAIVER AND DISCLOSURE NOTICES IN ITS ENTIRETY

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