I have voluntarily enrolled in this Soma Cycle and Wellness Session. I understand that I am under no obligation of any kind to participate in this session and I voluntarily enter this into this Waiver and Release of Liability.

I understand the Soma Cycle is a personal growth experience designed to enhance the quality of life, and is not a substitute for psychotherapy or medical guidance and does not substitute for therapy or medical advice if needed, and does not prevent, cure or treat any mental disorder or medical disease. I also understand that Dr. Kutsko and other Soma Life Coaches will offer coaching and educational guidance in the areas of nutrition, fitness, budgeting, habits, and time management.

I understand that I am responsible for creating and implementing my own physical, mental and emotional wellbeing, decisions, choices, actions, and results. As such, I agree that the Soma Cycle facilitator(s) is not and will not be liable for any actions or inaction, or for any direct or indirect result of services provided by the Facilitator(s). I understand that this Soma Cycle session is not medically supervised.

I understand that this session will involve strong connected breathing and invitation to move emotion and may include guided meditation. I understand that Soma Cycle can involve dramatic experiences accompanied by strong emotional and physical responses or releases.

I understand that I might find Somatic Cycling physically, emotionally, and/or mentally stressful. I hereby affirm that I am in good health and able to participate in this activity. I do not have any physical or mental conditions which would impair my ability to engage in this activity or which would otherwise endanger my health during this session, or which would cause any risk of harm to myself or other participants.

I have hereby been advised that I should talk to my physician and/or psychotherapist if I had any questions about my physical or mental ability to safely participate in this preferred activity and to receive the educational wellness information as only concepts to be confirmed as beneficial to my personal health needs my medical professionals. If I have chosen not to obtain a physician's consent prior to my participation in a Soma Cycle Session, I hereby agree that I am doing so solely at my own risk. I understand that is my sole responsibility to participate in activities that are appropriate for the current status of my health and to modify the Soma Cycle activity to accommodate my own needs or limitations.

I agree that if there is any change in this representation, I will promptly advise the Facilitator(s). If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor before I participate in such activity.

I agreed to indemnify and hold harmless Dr. Carolyn Kutsko, and her respective directors, officers, employees, agents, and beneficiaries from and against any and all claims and expenses, including attorney fees, arising out of my participation in this Soma Cycle Session.

In consideration of my participation in this Soma Cycle session, I hereby waive and release Dr. Kutsko and/or any assigns or beneficiaries from any and all claims, costs, liability, and expenses for any injury loss or damage whether known, anticipated, or unanticipated arising from my participation in sessions with Dr. Kutsko or other Soma Life Coaches leading Soma Cycle Sessions. This Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.