Name *

First Name

Last Name

Check this box to sign up for Inhabit's email newsletter

Have you meditated before? *

Yes

No

Have you done breathwork before? *

Yes

No

What kind of exercise do you do? [select all that apply] *

High intensity interval training (HIIT)

Weight training

Pilates

Yoga

Hiking/walking

Cycling

Other

Roughly how often do you exercise? *

Less than once a week

1-2 days/week

3-4 days/week

5-6 days/week

7 days/week

Liability Waiver *

• I am voluntarily participating in a class or classes provided by Inhabit. I will be receiving instruction and information concerning wellness techniques, which may include breathwork, meditation, and physical activities such as stretching and full body movement. I represent and warrant that I have no physical or mental health condition that would prevent my safe participation in these classes. • I agree that if I am pregnant, or have a known cardiac arrhythmia (including very. slow heart rate), a history of heart block, epilepsy, or if I am taking medication for a psychiatric condition that may result in an adverse reaction in connection with the highlighted activities above, I will consult with and obtain the permission of a physician prior to engaging in training or other physical activities in connection with these classes. • I am willingly and voluntarily assuming any risks, injuries or damages, known and unknown, which I might incur as a result of participating in these classes, and agree that Inhabit will not have any liability for such injuries or damages, to the maximum extent allowed by applicable law. • I acknowledge and agree that Sean Pritchard, a trainer at Inhabit, is not a medical professional and does not provide any medical diagnoses or treatments. I agree that if I have any medical condition, I will seek the help of a medical professional. • To the maximum extent permitted by applicable law, I hereby (a) waive and release any claims, known or unknown, I may have against Inhabit, including its instructors, officers, directors and employees and agents, arising from or in connection with the services provided by Inhabit (“Claims”).

By checking this box, I am indicating that I have read, understand, and agree to the terms of this agreement.