Tranquility Wellness & Yoga

Waiver of Liability


Date of Session/Webinar/Class

Full Name:

Date of Birth

Email Address

Cell Phone

I acknowledge and take responsibility for my participation in all sessions, webinars and classes undertaken with Kasey Goldstraw of Tranquility Wellness and Yoga Ltd. I hereby release her and Tranquility Wellness from any liability, claims, demands, injury, damage, action or cause of action whatsoever. Our goal at Tranquility Wellness and Yoga Ltd. Is to encourage and support you on our wellness journey. As such, all services are never meant to replace medical treatment, professional services or therapeutic advice. Information shared in group events is meant generally. Each person and situation is unique and, therefore, we can never guarantee set outcomes or results.

I acknowledge, have read and agree to the terms above. I agree to follow instruction carefully and take full responsibility.

Date of Signature

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Waiver of Liability
lock iconUnique Document ID: 26ea6a81bdffcc7f030c511791d33f19d07bd7da
Timestamp Audit
May 17, 2023 9:39 pm MDTWaiver of Liability Uploaded by Kasey Gorgenyi - kasey@tranquilitywellnessandyoga.com IP 70.49.186.205