Neuro Tai Chi Over Zoom Form

Neuro Tai Chi Over Zoom

PARTICIPATION WAIVER & RELEASE OF LIABILITY

I acknowledge that I have voluntarily chosen to participate in Neuro Tai Chi classes delivered via Zoom (the “Class”), offered by the Paperny Family JCC.

Health & Readiness

I confirm that I am physically able to participate in this class and have consulted with a healthcare professional if I have any medical conditions, injuries, balance concerns, or limitations that could affect my safe participation. I agree to modify movements as needed and to stop immediately if I feel pain, discomfort, dizziness, or unwell.

Assumption of Risk

I understand that Neuro Tai Chi, while generally gentle and low-impact, involves physical movement that may include risks such as muscle strain, loss of balance, dizziness, or falls. I accept full responsibility for my participation and any risks associated with exercising in my own home or chosen location.

Camera Requirement

I agree to keep my camera ON AND POSITIONED SO THAT THE INSTRUCTOR CAN CLEARLY SEE MY FULL BODY DURING CLASS. I understand that visual observation is necessary for the instructor to offer general form cues and corrections intended to support safety and effectiveness. I acknowledge that the instructor’s ability to correct is limited by the virtual format.

At-Home Safety Requirement

I confirm that A RESPONSIBLE ADULT IS PRESENT IN THE HOME WHILE I AM PARTICIPATING IN THE CLASS and is aware that I am exercising. I understand this is an important safety measure in the event of imbalance, injury, or emergency.

Personal Space & Environment

I agree to ensure that my exercise space is clear of obstacles, has adequate room to move safely, and provides stable footing and appropriate footwear or bare feet as recommended.

Limitation of Liability

I hereby release, waive, and discharge the Paperny Family JCC, its owners, instructors, employees, and affiliates from any and all claims, liabilities, or causes of action arising from my participation in the Class, including those related to injury, accident, or loss, except in cases of gross negligence.
Participant Name(Required)
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