I HEREBY ACKNOWLEDGE THAT I AM ABLE TO PARTICIPATE IN THE TRAIN FOR BIRTH WORKSHOPS, AND I HAVE BEEN CLEARED TO PARTICIPATE BY MY HEALTHCARE PROVIDER. I am aware there are inherent risks associated with preparing for the birthing process, and the Train for Birth Workshop. I understand that I may be injured or experience illness as a result of my negligence or through no fault of myself or anyone else, because of the nature of the activities in which I am going to be engaged.

I am aware that preparing for childbirth entails risks of injury and illness to any participant including but not limited to sprains, strains, and tears. I understand the description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in my injury or illness. I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in the Train for Birth Workshop is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.

I acknowledge that engaging in Train for Birth may require a degree of skill and knowledge different from other activities and that I have responsibilities as a participant. I acknowledge that Serenity Life Doula, L.L.C. has been available to more fully explain to me the nature and physical demands of my preparation for birth and the inherent risks, hazards, and dangers associated with the Train for Birth workshop.

I certify that I am fully capable of participating in the activities and exercises that Serenity Life Doula, L.L.C. recommends in its Train for Birth workshop. Therefore, I assume and accept full responsibility for myself for bodily injury and illness as a result of those inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this activity.