Consent Form
Cut and paste below form and email to basstempleyoga.com
Participation Overview
By signing you acknowledge Bass Temple Yoga may include somatic breathwork, energy‑focused movement, bass immersion, and non‑sexual self‑touch or guided partner exercises.
Consent and Boundaries
Voluntary — Opt out of any activity at any time without penalty.
Non‑sexual — All prana work is channeled consciously and respectfully.
Mutual care — Commit to dignity, consent, non‑objectification, and trauma‑informed presence.
Prohibited Conduct
No sexual advances, explicit comments, or unauthorized touch.
No recording (photo, video, audio) unless facilitators explicitly authorize.
Boundary violations may result in removal and forfeiture of fees.
Safety, Confidentiality, and Wellbeing
Confidentiality — Personal sharings in sessions remain private.
Self‑assessment — You affirm you are emotionally and physically able to participate.
Disclosure — You have disclosed relevant health concerns or sensitivities in advance.
Acknowledgment and Signature
I have read and understood this form. I agree to participate with integrity and respect.
Participant Name (Printed): __________________________ Signature: __________________________ Date: __________________________
Privacy Policy
What we collect
Minimal, mission‑critical data: name; contact; emergency contact; intake health and accessibility notes; payment records via secure processors; class registrations and voluntary feedback; basic technical data for security.
Why we collect it
Only to run safe, accessible community practice: personalize classes; manage registrations and payments; ensure safety, consent, and accommodations; run outreach and mutual aid; improve services with aggregated anonymized data.
What we do with it
We do not sell or trade your data. Access is limited to trained staff. Payments handled by PCI compliant processors; we do not store raw card numbers. Intake records are encrypted or locked. Breaches will be reported promptly.
Your choices and rights
You control your data: opt out of marketing; request access, correction, or deletion; ask us to limit processing. We will respond to verified requests promptly and honor lawful rights in your jurisdiction.
Confidentiality in practice
Personal sharings in sessions are treated with discretion. Respect community confidentiality norms.
Contact now
Email: basstempleyoga@gmail.com Phone: 404‑855‑1517