Nia Class Registration + Waiver

Welcome to Nia! I am happy to share this practice with you. Please read the following waiver and release of liability thoroughly and sign. You only have to do it once.

A G R E E M E N T

Your agreement to participate in a Nia class or training – online or in-person – means that you fully agree to the following:

I understanding there is an inherent risk associated with any exercise program, including my voluntary participation in Nia classes and trainings, that may result in injury. The exercises offered may challenge my cardio-respiratory and musculoskeletal systems associated with the aerobic, anaerobic, strength, power, agility, flexibility and breathing components of the program. I understand and am aware that the components of exercise are potentially hazardous activities and may cause injury.

I hereby affirm (A) that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this program OR (B) that I have had a physical examination and/or have been given permission from my physician to participate in an exercise program OR (C) that I have decided to participate in an exercise program voluntarily and without the approval of my physician and do hereby assume all responsibility for my participation in any Nia movement activities.

I recognize that it is my full responsibility to modify all movement and intensity for my safety and comfort and that I will stop and consult a physician if I experience any pain or shortness of breath. I acknowledge that my enrollment and subsequent participation in Nia programming is voluntary and in no way mandated.

I understand that Nia programming will also explore practices that stimulate the mind, emotions and spirit. I affirm that I am in good mental health or under the care of a mental health professional.

I understand that my Nia teacher or trainer is not a licensed mental health professional and affirm that I will seek guidance and support from a licensed mental health professional if my mental or emotional health becomes compromised or unstable at any time.

I hereby WAIVE AND RELEASE Nia Technique, Inc. (“Nia”), its owners, officers, employees and licensed instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the Nia programs offered at this facility or online.

In taking part in Nia classes or training, I understand and acknowledge that I am fully responsible for any and all risks, injuries or damages, known or unknown, which might occur as a result of my participation in the classes, workshops or other activities.

I expressly agree that this release is intended to be as broad and inclusive as permitted by applicable law and if a portion of this release is held invalid the balance shall remain in full force and effect. This release shall apply to my heirs, assigns, personal representatives and any other next of kin.

I understand that Nia is relying on this release in agreeing to enter into this agreement. I have read the release of liability and assumptions of risk agreement and fully understand its terms and that I have given up substantial rights by signing it and I sign it freely and voluntarily without inducement.