• About Drawbridge Counseling
    • About Drawbridge Counseling
    • More Information About Art Therapy
    • Art Gallery
    • Services
    • Services and Rates
    • Insurance
    • Death Doula Services
  • Contact Katy
    • Information & Resources
    • Community and Helpful Resources
    • Current and Recent Studying, Reading, and Other Work
    • Rogue Yoga, Candles, and Clay
    • Rogue Yoga
    • New Events
    • Consent for RoGa
    • Rogue Clay

Drawbridge Counseling (and rogue yoga, candles, and clay))

Helping you get from where you are now to where you want to be.
  • About Drawbridge Counseling
    • About Drawbridge Counseling
    • More Information About Art Therapy
    • Art Gallery
  • Services
    • Services and Rates
    • Insurance
    • Death Doula Services
  • Contact Katy
  • Information & Resources
    • Community and Helpful Resources
    • Current and Recent Studying, Reading, and Other Work
  • Rogue Yoga, Candles, and Clay
    • Rogue Yoga
    • New Events
    • Consent for RoGa
    • Rogue Clay
  • Menu

Consent Waiver for RoGa

Name *
I understand that I am participating in a yoga class during which I will receive instruction in yoga and actively participate in movement.I understand that yoga requires physical and bodily exertion which may result in an accident or physical injury. In consideration of participating in yoga classes, I, for myself or any minor I am authorizing by checking the box and entering my initials below, as an online signature, for myself, my heirs, administrators, and successors, intending to be legally bound, hereby release and indemnify Rogue Yoga and Katy Aversenti Schumaker from and against all claims, liabilities, damages, or causes of action arising out of or in connection with my participation in the classes, without limitation. Please enter your initials below and check the box to accept this Waiver. If signing for a child, please enter the child's full name and age, your relationship, your initials, and check the box below,
Checkbox to Accept Release
Please enter below your yoga experience, any injuries, and any thoughts/hopes you have for your practice.
Thank you!

 

Kathryn (Katy) Aversenti Schumaker, MA, LMHC, ATR-BC, RYT-200

652 SW 150th St.

Burien, WA 98166
206-948-5289