Mamas and Mimosas Workshop
May 13th, 2023 @ 12:00pm
119 Pittsburg Street
Dallas, TX 75207
Are you wanting to become pregnant, are currently pregnant, or at least 6 weeks postpartum?
This workshop is for you! Powerhouse PT wants to help you stay active during your pregnancy and into postpartum. We want to encourage and empower you to be the best version of yourself for you and your little one!
Come join an amazing group of women that are all experiencing movement throughout the different stages of motherhood!
Only $20 to reserve your spot today!
Workshop Waiver
Powerhouse Physical Therapy is performing a workshop for your education. Following the workshop, we will provide each participant with a few simple exercises and\or stretches to work on at home to reduce the risk of injury to enhance performance, strength, and stability. The purpose of this workshop is not to diagnose or treat, while the screen will be performed by trained individuals, participation in the workshop carries with it a risk of injury that cannot be eliminated regardless of the care taking to avoid such injuries and the undersigned individual shall assume all risk by participating in the workshop. By submitting information and signing electronically below, and in consideration of the aforementioned workshop, I do always and forever release any and all rights and claims for all damages and liabilities of any kind of arising out of my participation in this workshop, against all persons, entities, and agencies involved with performing the workshop, including but not limited to: the hosting entity, Powerhouse Physical Therapy, and any other related individuals or entities. I understand that this workshop is not intended to diagnose or treat any injuries, but to assist with optimizing movement for the participants. I do understand that my participation in this workshop is not a guarantee of injury prevention or performance. The results will not be shared with any individuals or entities except as outlined here and it will only be used for informational purposes including tracking of injuries and\or trends. I also agree to be contacted by Powerhouse Physical Therapy in the future. We will not share your personal information here onto per Powerhouse Physical Therapy’s privacy policy. I’ve carefully read this waiver of liability and I understand that I am giving up legal rights, including my right to sue. I acknowledge that I am signing this waiver freely and voluntarily and intent by my signature to be a complete and unconditional release of all liability to the extent allowed by law.
Medical Clearance
It is suggested that you speak with your medical provider prior to participation in this event. If you are experiencing any symptoms below, please bring a medical release form or contact Powerhouse Physical Therapy, PLLC prior to the event.
High Blood Pressure
Preeclampsia
Placenta Previa
Placenta Accreta
Gestational Diabetes
Cesarian Section (need to be cleared for lifting from medical provider)
Photo/Video Consent
I authorize the Clinic and its Representatives to collect, use, publish, reproduce, exhibit, display, broadcast, or distribute my likeness, personal characteristics, and any photographs, videos, films, or any other recordings (collectively, “Media”) of Me receiving services provided by the Clinic for promotional, marketing, commercial, business, or informational purposes. In exchange for sufficient consideration, I give the Clinic my permission for such use and publicity and for such purposes as the Clinic chooses, in its sole discretion. I acknowledge that I may change this consent by providing written notice to the Clinic.