I hereby consent to and authorize HeartSprings Practitioners to provide the following services in person or online, which are not HIPAA compliant, due to class participation. One-on-one services are HIPAA compliant. I understand that this HeartSprings Practitioner is not acting as a licensed medical practitioner, and that this is not a medical treatment. I understand that this intervention is not intended to diagnose any medical condition, or to take the place of any medical treatment prescribed by my physician. I further understand that no guarantees or assurances have been made as to the results of such services, and that these services are intended as a complement to the medical plan of treatment provided to me by my physician, not as a cure of any medical or emotional condition. Notice and release of liability. Activities associated with HeartSprings Community Healing Center are not a substitute for proper consultation for physical, mental, and psychological illnesses and may not be suitable for everyone. In doubt, do not try it and consult your trained medical professional for guidance. Anyone already undergoing physician-prescribed therapy should seek the advice of his or her doctor before reducing the dosage or stopping such treatment. Even a normal person experiencing discomfort while participating in this HeartSprings sponsored activity, must discontinue this activity immediately and seek expert medical help. Please use your common sense: no strain, no new pain. It is your responsibility to pro-actively consult your trained physician for approval before participating. By executing this Release you accept full responsibility for your physical fitness and state that you are able to participate safely with the activity; you hereby release those leading the activities from any liability for injury or loss resulting from your participation, including all risk of personal injury, death, property damage, or other injuries, arising out of or in connection with the activity. In addition, you release HeartSprings, Inc., Messiah Evangelical Lutheran Church and the owner of any other location used by HeartSprings, including their directors, officers, employees, contractors, agents, predecessors, successors, or assigns, from all claims, actions, or causes of actions for, any personal injury, death or property damages, or other injuries or damages arising out of in connection with the Activity (other than that resulting from or arising out of their intentional, willful, or wanton acts). I hereby authorize the use and reproduction by HeartSprings, or anyone authorized by you, of all photographs and/or videos, which have been taken of myself negative or positive, without compensation to me. Please Note: Your electronic signature indicates that you have read, understand and agree to the terms and conditions stated above.