Participation and Consent Form

I acknowledge the following:

  1. Medical Condition: I have no medical condition that may affect my ability to learn and practice tai chi. If I have or am unsure about a condition, I understand that I must obtain a doctor’s clearance before participating.
  2. Doctor’s Clearance: (Only if applicable) I have received a doctor’s clearance to participate in this class if necessary.
  3. Photograph/Video Consent: I consent to the use of any photographs or videos taken of me, as well as any feedback or written comments I provide during the class. I understand these may be used for publicity, promotion, demonstration, or other business purposes, in any medium, including the internet, and I waive any right to compensation for such use.
  4. Physical Fitness and Liability Release: I understand that tai chi is a gentle exercise intended to enhance my physical fitness. I confirm that I am physically fit enough to safely participate in this class. In consideration of being admitted to this class, I accept full responsibility for any injuries sustained during my participation and hereby release and hold harmless the Play Session Leader, USTCC.ORG, and its partner sites from any liabilities, injuries, and expenses that may arise from participating in this session or practice involving tai chi.

By typing my name below, I acknowledge that I understand and agree to the terms stated above. I understand that typing my name below equates to a physical signature.