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ABOUT
ABOUT ROOTS
ABOUT TCTSY
Trauma Informed
kelcymcnamara.com
SERVICES
Classes
Workshops
Info Sessions
Fees for Service
Events
Consent form for Workshop
Registration for TCTSY
Consent form
Contact Us
Home
ABOUT
ABOUT ROOTS
ABOUT TCTSY
Trauma Informed
kelcymcnamara.com
SERVICES
Classes
Workshops
Info Sessions
Fees for Service
Events
Consent form for Workshop
Registration for TCTSY
Consent form
Contact Us
SERVICES
Classes
Workshops
Info Sessions
Fees for Service
Events
Consent form for Workshop
Registration for TCTSY
Consent form
Name
*
First Name
Last Name
Phone
(###)
###
####
Email
*
Medical History (please list any injuries or surgeries etc. you feel relevant to share)
Yoga History (have you taken classes before? What style? If you are new please feel free to share any interests, concerns or questions)
By signing below, I am consenting to participate in Trauma Center Trauma Sensitive Yoga (TCTSY) and or Yoga for recovery with Kelcy McNamara TCTSY-F, I understand that my participation in TCTSY does not to replace psychotherapy, but rather serves as an adjunct to my primary psychotherapy and or any and all other medically-necessitated interventions.
*
I further acknowledge and understand that yoga is a physical activity that involves the related subsequent risks of all physical activities. By signing and participating I am stating myself to be physically sound to proceed with the instruction of Yoga. I declare myself to be responsible for my own health and safety while participating in class. Please sign below:
*
Date
*
MM
DD
YYYY
Thank you!
