top of page
Waiver, Liability and Cancelation Form

Do you have any physical and/or emotional limitations that could be aggravated by this movement (i.e. physical problems, pains and/or surgeries, depression, anxiety, PTSD, high blood pressure, diabetes, etc.) if so, please explain:

Thanks for submitting!

Terms & Conditions

I understand that this movement includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, or injuries that may incur through participation. 


This movement is not a substitute for medical attention, examination, diagnosis or treatment. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a holistic program. In addition, I will make the instructor aware of any medical conditions or physical limitations before each session. I also affirm that I am responsible to decide whether to practice this movement and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against The Intentional Movement and Jay Cambridge.


If The Intentional Movement instructor is unable to keep an appointment for any reason and unable to give you at least 24-hour’s notice, you will receive one free personal session. 


If you are unable to give The Intentional Movement at least 24-hour’s notice of cancellation, we will require you to make a normal payment in full. This policy also applies to no-shows. No refunds.


Note: Please be on time for your sessions. If you are late, the session will finish on time. 

I acknowledge and fully understand the cancellation policies as stated above. 


All memberships must be canceled before monthly renewal date; this can be done inside your member account.


I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. By consenting to this agreement in the checkbox, I have done so voluntarily and recognize that my consent serves as complete and unconditional release of all liability to the greatest extent allowed by law.

bottom of page