WELCOME, REQUIRED WAIVER & ZOOM LINK!

Thank you for registering for Vitality Cultivation & Resiliency with Qigong & Tai Chi Basics.

Congratulations for making a wonderful investment to learn and practice the powerful tools of Qigong-Tai Chi, proven practices for stress reduction, a calmer mind, strengthened resilience and improved energy. Let’s have fun together as we get into the flow of the Fall season.

PLEASE CLICK HERE TO COMPLETE THE REQUIRED WAIVER AND ACCEPTANCE OF LIABILITY BELOW.

I am delighted to have you join me for the following weekly 45-minute classes. Mark your calendars for these six class dates:

1. Sunday, September 21st - 10am - 10:45am ET

2. Sunday, September 28th - 10am - 10:45am ET

3. Sunday, November 5th - 10am - 10:45am ET

4. Sunday, November 12th - 10am - 10:45am ET

5. Sunday, November 19th - 10am - 10:45am ET

6. Sunday, November 26th - 10am - 10:45am ET

Here is the Zoom Link for all six classes AND you will receive an email reminder with the Zoom Link 24 hours before each class.

Topic: Vitality Cultivation & Resilience with Qigong & Tai Chi Essentials, Instructor Robin Gellman

Time: Sep 21, 2025 10:00 AM Eastern Time (US and Canada)

Every week on Sun, until Oct 26, 2025, 6 occurrence(s)

ZOOM LINK: Join Zoom Meeting

https://us02web.zoom.us/j/81849773736?pwd=1CWBUWgbge418qkCXedzHGyqMsa9dE.1

Meeting ID: 818 4977 3736

Passcode: ENERGY

Any questions, please feel free to contact me

E-mail: Robin@GellmanAcupuncture.com or

Phone: 202-669-2680

QUESTIONNAIRE AND WAIVER (REQUIRED)

Name

First Name

Last Name

Email

Phone where we can reach you the day of each session

(###)

###

####

Do you have any health conditions or restrictions which might affect your ability to perform certain exercises, and of which your instructor should be notified?

Do you have any previous experience of Tai-Chi or QiGong?

If yes, please provide brief description

Please check to agree with the Waiver below

I have read the Waiver and Release of Liability and agree to all its terms

This program is brought to you with your well-being and safety in mind. To participate in a Qigong or Tai Chi program offered by Gellman Acupuncture, LLC & Robin Gellman the undersigned:

Agrees that by joining any Tai Chi/Qigong or any wellness program offered by Robin Gellman, LAc. or Gellman Acupuncture, LLC, whether in-person classes, private lessons, workshops, or video/online classes, you are agreeing to this Waiver and Release of Liability for any and all reasons..
Recognizes the nature of this activity requires physical exercise, physical exertion and perhaps the risk of injury. Certifies that, to the best of their knowledge, has no physical disability or problem that would cause such physical exertion to endanger their health. Recognizes that it is their responsibility to notify the instructor of any serious illness or injury, or any change of health status, including pregnancy.
Acknowledges and fully understands that each participant will be engaging in activities that involve physical contact (to include push hands exercises and applications drills that involve pushing and pulling) where loss of balance, risk of serious injury, including permanent disability and death, and severe social and economic losses might result not only from their own actions, inactions, or negligence but also the action, inaction, or negligence of others, the rules of conduct, or the condition of the premises or any equipment used. Further, that other risks may exist that are not known or not reasonably foreseeable at this time.
Acknowledges that they will not perform any movements to the extent of strain or pain and adapt the movements to stay within their personal physical capacity and comfort levels. Assumes all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.
Acknowledges and fully understands that discussions on the health benefits of tai chi and qigong are not meant as a substitute for proper medical care and that these discussions are meant for education purposes and not meant to diagnose, treat, or cure medical conditions.
Acknowledges that during live online Zoom sessions, the instructor may not be able to see participants for a number of reasons: if the participants camera is disabled, for unexpected and unforeseen technical reasons, or because the instructor’s view does not show your camera. As such, participants should exert extra caution, assuming that the instructor cannot see you, and take full responsibility to stay within their ability level, adapt the movements accordingly. Whether with live or recorded sessions, the participant understands that they are following online material at their own risk. The participant acknowledges that all Zoom sessions may be recorded, and any recordings may be made available to clients of Gellman Acupuncture, LLC at a later date.
Expressly waive, release, hold harmless, and covenant not to sue Robin Gellman (Instructor) or Gellman Acupuncture, LLC for any and all rights and claims for damages or costs which I, my heirs, or my next of kin may have against him for personal injury, including permanent disability and death, or property damage suffered by me or that I may cause to others as a result of my participation in this class.
Acknowledges that when the class is being taught virtually on Zoom, the participant must provide a safe personal space to practice and that Zoom classes still involve inherent risks, including the possibility of injuries due to improper Qigong or Tai Chi form or unforeseen circumstances related to the virtual environment; and waive, release, hold harmless, and covenant not to sue Robin Gellman (Instructor) or Gellman Acupuncture, LLC for any and all rights and claims for damages or costs which I, my heirs, or my next of kin may have against him for personal injury, including permanent disability and death, or property damage suffered by me or that I may cause to others as a result of my participation in this virtual class.