TCTSY Yoga Program

Participant Consent and Release

I, ___________________, consent to participate in the TCTSY yoga program, and to attend one or more classes or activities of this program. I understand that my participation in this program does not replace psychotherapy, but rather serves as an adjunct to my primary psychotherapy and/or any and all other medically necessitated interventions. I also agree to maintain my current level of psychological treatment with my providers and will notify the yoga coordinator if there are any changes in my care. I further understand the participation in the TCTSY yoga program is conditional upon maintenance of all clinically necessary intervention services

I further acknowledge that I fully understand that yoga is a physical activity and that there may some risk. I agree to obtain prior medical clearance for my participation in any classes or activities of the TCTSY yoga program and understands that it is my responsibility to verify with medical professionals the appropriateness of participating in yoga services and any potential risks involved. I agree to make full disclosure of any and all medical conditions or physical limitations to the director of yoga programming or the designees prior to the onset of any and all program services. I also agree to update program staff as the changes in my medical or physical condition.

I understand that the TCTSY yoga program maintains the right to modify, discontinue or deny program services to me at any time. I hereby waive any and all liability of the TCTSY yoga program, the CFTE, Justice Resource Institute, and all associated program staff or consultants for any injury that I may incur as a result of participation in these yoga classes. Finally, I understand that TCTSY facilitators are not medical providers and that any questions regarding my health concerns should be brought to my licensed medical provider.