New Client Form and Waiver

Name *
Name
Liability Wavier Agreement *
I hereby agree to participate in three 30 minute Movement Coaching sessions with Alia Bisat. I understand that movement coaching includes physical movements and breath awareness. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, alert and ask for support from my instructor, Alia Bisat. I agree to participate at my own risk and assume full responsibility for any and all damages which may incur through participation. Movement Coaching is not a substitute for medical attention, examination, diagnosis or treatment. By signing, I affirm that I have listed all medical conditions and/or physical limitations in this form. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I, and/or Alia Bisat can decide to discontinue the sessions at any time. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Alia Bisat. I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my e-signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of New York.