Acknowledgment of Dual Credentials & Scope of Practice:

I explicitly understand and acknowledge that while the Instructor, Kelsey Hornick PT, DPT, PCES, RYT-200 of Nourish Physio & Yoga LLC, is a Licensed Physical Therapist (PT) and a Registered Yoga Instructor (RYT), these online yoga classes do not constitute physical therapy, medical diagnosis, or personalized medical treatment.

No Patient-Therapist Relationship: Participation in these online classes does not establish a clinical provider-patient relationship between myself and the Instructor.

Instructional Purpose Only: The information, instruction, and cues provided during online classes are for general educational, wellness, and recreational purposes only. They are not intended as a substitute for individualized medical evaluation, advice, or physical therapy treatment.

Participant Health & Responsibility

Medical Clearance: I affirm that I am in good physical condition and have consulted a licensed physician to verify my fitness for yoga prior to starting.

Duty to Disclose: I agree to inform the Instructor of any injuries, surgeries, pregnancies, or medical conditions prior to the start of any session.

Self-Regulation: I agree to listen to my body at all times. I will modify poses, slow down, or stop exercising immediately if I experience pain, discomfort, or dizziness.

Inherent Risks of Online & Virtual Instruction

I understand that yoga and related physical movement involve progressive physical exertion. I recognize that these classes are delivered virtually/online, which introduces distinct limitations:

No Direct Supervision: The Instructor cannot physically see my environment, fully evaluate my form, or provide hands-on tactile adjustments.

Environment Risk: I am entirely responsible for ensuring my physical practice space is safe, clear of hazards, and suitable for physical exercise.

Inherent Injury Risks: I acknowledge that risks include, but are not limited to, muscle strains, joint sprains, dizziness, falls, or exacerbation of pre-existing conditions.

Release of Liability & Assumption of Risk

In consideration for being permitted to participate in these online yoga classes, I knowingly, voluntarily, and expressly choose to assume all risks of injury, damage, or loss.

I hereby irrevocably release, waive, and forever discharge Kelsey Hornick PT, DPT, PCES, RYT-200 and Nourish Physio & Yoga, LLC from any and all claims, demands, causes of action, or liabilities arising out of negligence, or any personal injury, property damage, or wrongful death sustained during or as a result of my participation in these virtual classes. This waiver binds my heirs, executors, and legal representatives.

Recording Consent

By signing below and attending the live session, I hereby acknowledge and agree that the live session will be recorded in video and audio formats. I grant Nourish Physio & Yoga LLC the absolute and irrevocable right to record my voice, image, likeness, and any material or content I share during the session. I understand that this recording may be used for training, educational purposes, quality assurance, and sent to all who sign up for the session in order to rewatch.

Waiver of Liability

I release, waive, and forever discharge Nourish Physio & Yoga LLC, its employees, agents, and representatives from any and all liability, claims, or demands arising out of or in connection with the recording, storage, or transmission of this session. This includes, but is not limited to, claims for privacy breaches, unauthorized third-party distribution, digital piracy, intellectual property infringement, or technical malfunctions associated with the conferencing platform.

I confirm that I am 18 years or older.

Data Retention and Ownership

I acknowledge that Nourish Physio & Yoga LLC retains sole ownership of the resulting recording file. I understand that the recording will be stored securely and access will be restricted to authorized individuals, but Nourish Physio & Yoga LLC cannot guarantee absolute security against malicious cyber threats.

Acknowledgment of Voluntary Participation

I confirm that my participation in this live session is entirely voluntary. If I do not wish to be recorded, I understand that I must choose not to participate in the session or sign this waiver.

Governing Law

This Agreement shall be governed by and construed in accordance to the laws of the State of Tennessee. If any portion of this waiver is held invalid, the remainder shall continue in full legal force.

Explicit Consent & Signature

By checking the box below (acting as a binding signature), I certify that I have carefully read this document, fully understand its contents, and voluntarily agree to give up substantial legal rights that I might otherwise have to bring a lawsuit against the Instructor