I understand that Feldenkrais® is not a medical treatment, but movement explorations designed to help me find easier ways to do familiar activities. I understand that if I am under the supervision of a medical professional, that Feldnekrais modalities are not in lieu of any medical treatment, and that I have consulted such medical professional with regard to engaging in Feldenkrais movement classes or sessions. *

Yes, I understand

I give permission to the Feldenkrais® teacher to lead me through movement sequences that comprise the Feldenkrais Method®. *

Yes, I give permission

I consent to personal contact between the teacher and me, insofar as it is appropriate to help me adjust my comfort or otherwise correct my position for optimal benefit from the class. *

Yes, I give consent

I understand and agree that I am responsible for my own well-being while doing Feldenkrais®. *

Yes, I understand

I will follow the directions of the Feldenkrais® teaching to do small movements in a deliberate fashion. If I begin to experience any discomfort, I will do still smaller movements, even more slowly. If even the smallest movement is uncomfortable, I will only imagine doing the movement, instead of actually doing it. *

Yes, I will follow the directions

I understand that I would have prior permission to consent or decline any photographs of me engaging in these lessons. Feldenkrais Awareness Through Movement® lessons and Functional Integration Sessions support the learning process for better sensing and organization of oneself. *

Yes, I understand

Date *

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Name *

First Name

Last Name

By checking this box you agree to the terms above. *

Yes, I agree