Liability Waiver | Give Me Harmony

top of page

Give Me Harmony

Holistic Health & Fitness

Home
Book a Service
Plans & Pricing
GMH Member
Services
More Info
Liability Waiver
More

Use tab to navigate through the menu items.

Give Me Harmony
Liability Waiver

First name

Last name

Email

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

No

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Give Me Harmony: The Studio lobby, welcome vibes!

CONTACT

The Studio is located at:

1103 Butte House Road, Suite B, Yuba City, CA 95991

Email:

autumnscuvottti@givemeharmony.org

Phone:

530.565.6889

First Name

Last Name

Email

Subject

Leave us a message...

Thanks for submitting!

JOIN THE MAILING LIST

Enter your email here

Thanks for submitting!

© 2023 Give Me Harmony

bottom of page