Thank you for being here with us! Please Sign In Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastInfoEmail *Zipcode *PhoneBy entering your phone number you agree to receive text message reminders from Spectrum New Beginnings (we promise not to spam you).LayoutProgram: *Self-Care SaturdayWoman to WomanEmpowering Grandmothers: Nurturing GenerationsHow would you rate your emotional well-being in this moment? Selected Value: 0 How would you rate your sense of connection/belonging in this moment? Selected Value: 0 How would you rate your overall quality of life in this moment? Selected Value: 0 Is this your first time attending this program? *YesNoPlease sign below to agree to the Waiver of Liability * Clear Signature I represent and warrant that I am in good physical health and do not suffer from any medical condition(s) that would limit my participation in fitness, mindful movement, or other exercise programs offered by Spectrum New Beginnings, Inc. or any contractors or affiliates. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in programs offered by Spectrum New Beginnings, Inc. I understand the risks associated with the activities offered by Spectrum New Beginnings, Inc. and I agree to follow all instructions so that I can safely participate. I acknowledge that participation in fitness exercise exposes me to possible risks of personal injury. I am fully aware of these risks and hereby release Spectrum New Beginnings, Inc. and/or any other persons who may represent Spectrum New Beginnings, Inc. from any and all liability, negligence, or other claims arising from, or in any way connected with my participation in fitness, mindful movement, and any other programs offered by Spectrum New Beginnings, Inc. Please practice mindfully and enjoy!Please sign below to agree to the Media Release (if you would prefer not to be photographed, please let us know) (copy) Clear Signature MEDIA RELEASE FORM – PHOTOGRAPHS AND/OR VIDEO I hereby grant Spectrum New Beginnings, hereinafter referred to as “SNB,” the absolute and irrevocable right and permission, in respect of the photographs and/or video taken of me alone or with others, to use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other photographs or video, and in conjunction with any printed matter, or electronic matter, in any and all media now or hereafter known, and for any purpose whatsoever; and to use my name in conjunction therewith if SNB so chooses. I hereby release and discharge the SNB from any and all claims and demands arising out of or in connection with the use of the photographs or video, including without limitation any and all claims for libel or invasion of privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, and assigns of the SNB. I am of full age (18) and have the right to contract in my own name. If I am not yet 18 years of age, a parent or guardian has authorized my signature. I have read the foregoing and fully understand the contents thereof. The release shall be binding upon me and my heirs, legal representatives, and assigns.Submit