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Dear Program Participant,

Please answer the following questions to the best of your ability so that our training team can become familiar with your story. Any personal information provided by any participant will be held in strict confidence, and is for the express use of the course facilitators to understand the needs of you and the other course participants.

I understand that it is my responsibility to consult with a physician and/or counselor/psychiatrist prior to and regarding my participation in the specified program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participating to the best of my ability in the Program. I understand that I must consistently monitor my energy and comfort, and take full responsibility for my own pacing of what I can and cannot do at this time. I understand that the program activities and homework are voluntary and that Kundalini Yoga is a non-forced, non-aggressive, non-competitive activity. I assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program. I understand that I have choice in what I share about myself.

I will not hold Sat Dharam Kaur ND or other instructors or course administrators responsible for any injuries or actions arising out of or in any way connected with my participation in this program. I acknowledge that a risk of personal injury may be involved in any exercise or yoga program, and understand that it is my responsibility to refrain from performing any yoga postures or exercises that cause me pain or discomfort, physically or emotionally. I acknowledge that in a professional manner, physical contact may be required for Kundalini Yoga instruction.

I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue or make any claims of any kind whatsoever against the Program or any of the aforementioned parties for any injury, property damage/loss, or death caused by their negligence or other acts.