Name *

First Name

Last Name

How do you expect be attending, mostly?

In Person

On Zoom

Rate Current Level of Low Back Pain, if any (0-10 scale)

0 (no pain)

1

2

3

4

5

6

7

8

9

10 (severe pain)

Safety Check (all are required) *

I understand that Amy Sundari Finlay is not a doctor, and that if I'm experiencing back pain I should consult with my doctor to ensure this material is relevant to my particular back.

I understand that it is my responsibility to stay within my own pain-free movement range as much as possible, regardless of cues.

I understand that the use of chairs as props poses some risk due to potential slipping or tipping of chairs, and agree to proceed with caution, evaluating the limits of the chair ahead of practice and as needed ahead of following cues.