Somatic Sanctuary LLC, Client Intake & Release of Liability form

Why you are reading this document - Before you begin your class or session with us, whether it is online or in person, we need you to clearly understand the risks of participating in our movement and somatic based sessions. The purpose of this release and waiver (the “Waiver”) is to communicate in an open and honest way the risks of practicing movement together and have you release Somatic Sanctuary LLC of any liability.

If you are under the Age of Majority in California (18 years old), your legal guardian must also sign this Waiver on your behalf.

Somatic Sanctuary requests that our clients give 24 hours’ notice prior to canceling appointments, 2 hours for Live Streaming and In person Studio Classes. If the appropriate notice is not given, Somatic Sanctuary may charge for the appointment or class.

● Please discuss with the practitioner any medical condition that might affect your participation in any of the modalities offered by Somatic Sanctuary and or that you feel is pertinent for the Practitioner or Teacher to know.

PLEASE READ CAREFULLY, UNDERSTAND FULLY, AND ASK QUESTIONS IF ANYTHING IS UNCLEAR. WE ARE HERE TO SUPPORT YOU. MAKE SURE YOU UNDERSTAND THIS WAIVER. BY SIGNING THIS YOU AGREE YOU ARE SIGNING AWAY YOUR LEGAL RIGHTS AND YOU AGREE TO BE BOUND BY ALL THE TERMS OF THIS AGREEMENT.

1. Parties. We will refer to ourselves, Somatic Sanctuary LLC., a Company operating in the State of California, as “Somatic Sanctuary”, “we”, “us”, or “our” and we’ll refer to you, the undersigned (electronically or by hand) or person who has clicked “I Agree” to this Waiver, as “you” or “your”.

2. The Activities. You will be participating in movement classes and sessions at Somatic Sanctuary. We offer sessions including floor/mat and chair based group classes and private sessions, which may involve but are not limited to the following activities (the “Activities”):

2.1. Free movement and gentle movement for stretching,strength exercises,mobility,range of motion exercises, breathing exercises, relaxation exercises, hands on work, manual release work, ground based movement and a variety of balance movements. The constant in all of these classes and sessions is that the Activities involvemoving in full ranges of motion, strength training, and postural training. The Activities may involve receiving hands on adjustments from instructors, so please advise in advance if you do not want adjustments. 2.2. The Activities also apply to any in person or streaming classes which are or maybe made available for online streaming and participation and storage. As these classes may be taking place outside of Somatic Sanctuary’s facilities, we needyou to acknowledge that you are responsible for the safe facilitation of the Activities.

3.Equipment. In the course of the Activities, you will use a variety of equipment (the “Equipment”), which may include but are not limited to: mat, chairs, balls, straps, bolsters and other home equipment. Please do not use any equipment not instructed by Somatic Sanctuary staff.

4. Inherent Risks. You understand that participating in the Activities poses inherent risks, some more obvious/serious than others. These risks can result in serious harm and injuries that could change your quality of life and, in very rare and extreme circumstances, may even result in death.

4.1. Injuries include but are not limited to things like muscle tears,strains and other musculoskeletalinjuries, sprains, broken bones, cardiovascular complications, dehydration, dizziness, and fainting.

4.2. Exposure to and contraction of COVID-19 or other communicable diseases passed via other participants anduse of shared space or Equipment.

4.3. There are additional risks posed by participating the Activities Online, as there is no in-person supervision or space provided for you, and you will therefore need to ensure the safety of the Activities, using your judgment on how to best practice them, not pushing yourself too far or attempting anything you feel unsure how to perform.

5. Affirmation of Health. By participating in any Activities at Somatic Sanctuary, you affirm that you have sought medical advice or else are certain that your health and fitness levels are sufficient to participate in movement. 5.1.

COVID-19/ InfectiousDisease.Amidst the current developments surrounding communicable diseases,you acknowledge that by participating in the Activities you are affirming that you are healthy and able to engage in practice and are not at an increased risk due to COVID-19 or other infectious diseases. If you are suffering from symptoms of a communicable disease or are unsure of your health and ability to practice the Activities, please consult with your doctor and we urge you not to visit our studio or participate in our Activities. We are all in this together and it is important that we follow Somatic Sanctuary requirements for social distancing, hygiene practices, mask requests, and act with kindness and responsibility towards each other in order to ensure everyone’s safety.

6. Voluntary Assumption of Risk. You have read this Waiver and understand the risks of participating in the Activities with Somatic Sanctuary. Your signature below, electronic signature or clicking 'I Agree’, and your participation in the classes and or private sessions at Somatic Sanctuary illustrates your voluntary participation and assumption of the risks of the Activities.

7. Release, Waiver and Indemnity. You hereby release Somatic Sanctuary LLC., and its members, contractors, employees, volunteers, agents, executors, administrators, successors, family members and assigns (the “Released Parties”) from any liability and damages arising from death or personal injuries, including the contraction of COVID-19 or other communicable diseases, however caused including as a result of Somatic Sanctuary’snegligence, during your participation in the Activities at Somatic Sanctuary. You are releasing the Released Parties at your own risk and you agree to forfeit any and all forms of legal recourse which may be available to you, including but not limited to any form of damages, as a result of your participation in the Activities. You agree that these provisions above apply to you, your family, heirs, executors or anyone else who may be able to bring a legal action on your behalf in the future.

8. Media Release. We think you are gorgeous and would love to show you off! By being a student at our studio, you agree to grant us the irrevocable right to use your image, likeness, photographs, video content, audio recordings of you captured in our studio or that you share with us online (via your own or others posting of you) as part of our online streaming, marketing and sales throughout the world and in perpetuity. You also release us from all claims you may have relating to the use mentioned in this section. Please let us know If you ever want usto stop using an image of you.

9. General Legal Provisions. Jurisdiction. This Waiver will be governed exclusively by the laws of the State ofCalifornia. Severability. If any provisions of this Waiver are invalid or unenforceable, the other provisions in the Waiver will remain in full force and effect. Entire Agreement. This Waiver constitutes the entire agreementbetween the parties and replaces any prior agreements. Headings. The headings used in this Waiver are forstylistic purposes only and none of the content in the headings are intended to be legally binding. OnlineAgreement. We agree that this Agreement may be signed electronically or agreed to by having you click “I Agree”.

410 W Ojai Ave. Ojai, CA, 93023 www.somaticsanctuary.com 805-633-9230

All information that you provide to the practitioner in this form or otherwise will be held strictly confidential.