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Would you like to be added to the email list? *

Do you have previous experience with yoga? (not required) I am coming to this workshop as (ex. yoga instructor, yoga practitioner, clinician, therapist, massage therapist, community member etc.)

I am physically sound to proceed with the participation of yoga. I declare myself to be responsible for my own health and safety while participating in class. I understand the importance of keeping my teachers informed of any health concerns. I agree to release Kelcy McNamara RYT/TCTSY-F, ROOTS trauma sensitive yoga LLC from any liability in the event of an injury. Please sign and date:*

I understand that upon completion of this half day workshop I have information to make my practice a more trauma informed space for survivors, however I understand the scope of my practice and will not be offering yoga for trauma treatment based on this half day workshop. Please sign and date: *

I understand this program is solely information on TCTSY and is not intended as an intervention for those who have experienced trauma. I understand that talking about trauma, even in the context of a workshop, can be triggering. Please sign and date*

This registration and consent form is for the upcoming workshop "Intro to Trauma Sensitive Yoga" with ROOTS trauma sensitive yoga LLC based in southern Maine. By printing my name to each section, I understand that it acts as my signature. Your information is never shared with any other business, organization or third party. The information collected is solely for ROOTS trauma sensitive yoga LLC. I understand I will be offered a certificate of completion at the of the workshop. Please sign and date*

Workshop Location and Date