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Allison Kirley
Home
Coaching
Wellness Glow-Up
Life in Full Bloom
Bodywork
Book an Appointment
Massage Membership
About
Events
Blog
Contact
Home
Folder: Coaching
Back
Wellness Glow-Up
Life in Full Bloom
Folder: Bodywork
Back
Book an Appointment
Massage Membership
About
Events
Blog
Contact
Name *
(Optional) If you'd like to join my email list and receive a free guided meditation!
What is your yoga experience? *
Are you recovering from any injuries or is there anything that concerns you about participating? *
I am participating in a Yoga Program (the Class) offered and taught online by Allison Kirley, during which I will receive information and instruction about several topics, including but not limited to physical movement, exercise, and yoga. I recognize that these activities require physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks involved. I understand and accept that it is my responsibility to consult with a physician prior to and regarding my participation in the Class. I represent and warrant that I am physically fit and I have no medical conditions that would prevent my full participation in the Class. I, my heirs, or legal representatives, do hereby waive and release Allison Kirley from any and all liability and responsibility from injury, accident, illness, legal and medical fees sustained now or in the future from my participation the Class. Please type your name below if you agree:
Thank you!

 

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I stand in solidarity with BIPOC, the LGBTQ+ community, and all women+.

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Portland, Oregon 97203

Photo credits: Deanna Cantrell, Cassie Goodluck-Johnson