Exploring Peace with Whitney R. Simpson
  • Home
  • About
    • About Whitney
    • Contact
    • Testimonials
  • Whitney's Books
  • Community
  • Podcast
  • Resources
    • Blog
    • Blue Coast Retreat
    • Middle TN & Area Retreat Locations
    • Supplements Shop
  • Services
    • Event Request
    • Retreats
    • Spiritual Direction >
      • Client Consent Form
    • Yoga >
      • Waiver

Yoga Participant Waiver Form

I hereby consent as a participant in any yoga activity while on retreat (online or in person) and agree to assume all of the risks involved. I understand that Whitney R. Simpson/Exploring Peace LLC does not provide medical insurance relative to accidents, injuries, and/or death as a result of program related activities; and that I can not hold her or our class location personally responsible for any liability. 

I recognize that any form of physical activity is a potentially hazardous one, and that they involve a risk of possible injury or even death. I hereby affirm that I am voluntarily participating in these activities with the knowledge of the risk involved. I agree to expressly assume and accept any and all risks of injury and/or death. 
​

I hereby affirm myself to be physically sound and suffering from no condition, aliment, impairment, disease, or other illness that would prevent my participation in physical activities, I declare that I have or will disclose any and all medical history to Whitney R. Simpson and/or affiliates relevant to my participation and have permission from my physician to practice yoga.

    Completing this form serves as your electronic signature.

Submit
Join the Community
​Listen to the Podcast
Find Whitney's Books 
Practice Yoga with Whitney
​Contact Whitney






​

​© 2025, Exploring Peace Ministries, LLC / Whitney R. Simpson
Picture
  • Home
  • About
    • About Whitney
    • Contact
    • Testimonials
  • Whitney's Books
  • Community
  • Podcast
  • Resources
    • Blog
    • Blue Coast Retreat
    • Middle TN & Area Retreat Locations
    • Supplements Shop
  • Services
    • Event Request
    • Retreats
    • Spiritual Direction >
      • Client Consent Form
    • Yoga >
      • Waiver