Dr. William E. Leigh III DAOM AEMP
1423 34th Ave
Suite B
Seattle WA 98122
I choose to participate in the Qi gong or Meditation class offered by Dr. William E. Leigh III DAOM AEMP and Infinite Vitality. I recognize that the Qi gong or Meditation classes may require physical exertion which may cause physical discomfort or injury. I am fully aware that there are possible risks involved.
I understand that it is my responsibility to consult a physician prior to participating in Qi gong or meditation classes. I warrant that I am physically fit and do not have medical conditions which would prevent my participating in Qi gong or meditation classes.
I recognize the various suggested stances, poses and postures should be approached in a gentle fashion. If any movement brings discomfort, I know I can choose to modify the movement as deemed necessary to my physical needs.
I agree to assume full responsibility for any injuries sustained and I release Dr. William E. Leigh III DAOM AEMP and Infinite Vitality from any and all liability as a consequence of my participation in Qi gong or Meditation classes. I have read and fully understand this consent form / waiver & release and accept its contents.
1) LIABILITY WAIVER FOR QI GONG AND MEDIATION CLASSES: