Sage Movement

Waiver, Consent & Policies

Please review and agree to each section below. This document covers the terms, consent, liability waiver, media release, and financial policies for working with Michelle Spore and Sage Movement. Completion is required prior to your first scheduled appointment, along with your intake form. Thank you!

Section 01

Terms & Conditions

Please agree to the terms and conditions of Sage Movement and all services with CollabFitness, LLC, DBA Sage Movement.

Our services and products are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website or discussed in sessions. If you think you may have a medical emergency, call your doctor or 911 immediately.

Sage Movement does not recommend or endorse any specific tests, physicians, products, procedures, opinions, nutritional programs or other information that may be mentioned during sessions or on this website. Reliance on any such information is solely at your own risk.

Results from any program or service may vary. Exercise and proper diet are necessary to achieve and maintain any health or fitness outcome. Consult your healthcare professional before beginning any diet or fitness regimen, and refer any medical-related questions that arise while working with Sage Movement to your healthcare professional.

Services and products may be discontinued at any time for any reason. Michelle Spore retains the right to refuse services on an as-needed basis; if this occurs prior to services being rendered, the client will receive a refund.

By using this form, you agree to the storage and handling of your data as described.

By your acknowledgment, it is understood that Michelle Spore is NOT a physical therapist, registered dietitian, or doctor. She cannot legally prescribe diets or supplements to treat medical or clinical conditions, prescribe diets to treat symptoms of medical or clinical conditions, or diagnose medical conditions.

Section 02

Informed Consent for Exercise Participation

I desire to engage voluntarily in an exercise, movement and/or yoga programs offered by Michelle Spore of Sage Movement, delivered virtually online or in person. I understand the activities are designed to place a gradually increasing workload on the body to improve overall fitness and movement.

I understand I am responsible for monitoring my own condition throughout sessions, and should any unusual symptoms occur, I will cease participation and inform Michelle.

In signing this consent, I affirm I have read, accept, and understand this form in its entirety, and that I understand the nature of exercise. I know there may be risks associated with movement and fitness sessions and willingly accept those possibilities. I know it is my responsibility to ensure my own safety, and I take full responsibility for my own health and safety while participating, consulting a physician before participating in any activity to the extent I deem advisable.

I agree to pay all reasonable costs related to sessions, including any medical costs I incur. Fitness and movement results are not guaranteed.

You agree that by participating in physical exercise or movement activities, you do so entirely at your own risk. Any recommendations regarding diet, food supplements, weight reduction, or body-building products are entirely your own responsibility, and you should consult a physician prior to any dietary or supplement changes.

You agree you are voluntarily participating in these activities and assume all risk of injury, illness, or death. Sage Movement is not responsible for any loss of your personal property, including but not limited to property within your home.

Virtual session space: With sessions that are conducted virtually, you are responsible for ensuring you have a safe, distraction-free space — clear of debris, tripping hazards, and other persons or pets that could interfere — for the duration of your session. You are also responsible for ensuring a stable internet/device connection; Sage Movement is not responsible for interruptions, delays, or issues arising from your technology or connectivity.

Section 03

Agreement, Waiver & Release of Liability

In consideration for being allowed to participate in sessions, which I do freely and voluntarily for my own personal benefit, I hereby, for myself, my executors, administrators, heirs, next of kin, successors, and assigns:

  1. Waive, release, and discharge from any and all liability Michelle Spore and Sage Movement, their employees, agents, and volunteers, for my death, disability, personal injury, property damage, or property theft, or actions of any kind which may hereafter accrue to me.
  2. Indemnify and hold harmless Michelle Spore and Sage Movement, their employees, agents, and volunteers, from any and all liabilities or claims made by other individuals or entities as a result of, or relating to, my participation in these sessions.

By engaging with Sage Movement's services, sessions, and products, I voluntarily assume all risks related to exercise, movement, and general illness or health exposure.

I agree to be bound by this waiver as a condition of being allowed to participate in sessions, and I freely sign and agree to this waiver on the date indicated.

Governing Law: This agreement is governed by the laws of the State of Washington, without regard to conflict-of-law principles.

Severability: If any provision of this agreement is found to be invalid or unenforceable, that provision shall be limited or eliminated to the minimum extent necessary, and the remaining provisions shall remain in full force and effect.

Section 04

Photo/Video Consent

I consent to photo/video being taken during sessions for (a) tracking my progress over time and (b) creating reference material for my home practice/homework.

Section 05

Financial & Cancellation Policy

Sage Movement accepts cash, credit card, Venmo, and Zelle payments at the beginning of any services rendered or products purchased. 

A credit card processing fee of 4% per transaction applies to card payments. You can avoid this fee by paying via check (payable to Sage Movement), Venmo (last 4 digits 5293), Zelle, or cash.

All payments for services rendered and products purchased are non-refundable and non-transferrable. Sage Movement schedules and bills monthly: invoices are sent toward the end of each month, covering sessions for the upcoming month (prepaid sessions), and payment is due on the day of your first session of that month. Purchases have a 6-month expiration date from purchase.

If a service or product is on auto-renewal or subscription, you must cancel at least 10 business days (excluding holidays) before renewal to avoid being billed. Cancellation requests can be emailed to michelle@sagemovement.co.

An invoice/receipt will be provided after payment is accepted and services are rendered.

Appointments represent time set aside specifically for you. We value your time and ask that you value ours by giving at least 24 hours' notice (by email) for any cancellations or changes. Clients who fail to provide 24 hours' notice will be charged 100% of the session fee; this fee is not billable to insurance and is due upon receipt.

Clients who cancel or "no-show" on three separate occasions will be discharged as a client of Sage Movement and removed from the schedule. If discharged, any referring provider will be notified of the reason.

Sage Movement does not accept insurance to cover fees. Please reach out to your HSA/FSA provider to inquire about reimbursement eligibility for personal training/yoga sessions. Invoices can be supplied, but medical billing codes cannot.

Section 06

Signature

By signing below, I agree that all information in this Waiver, Consent & Policies document is true, and that I have read, understood, and agree to each section above.

Draw your signature in the box above using your finger or mouse.

Complete all 5 acknowledgments, your name, and signature to submit. (0/5 checked, name missing, signature missing)

Sage Movement · Admin