Phoenix Rising Yoga Therapy Consent and Release Agreement

for Video Recording Practice Sessions


I hereby give Darcie Warden permission to video record the Phoenix Rising Group Yoga Therapy sessions I participate in as part of her professional training practicum.

I understand Darcie Warden is in the final stage of her Phoenix Rising Yoga Therapy Certification Program and that any video recordings made will be used solely for training purposes. 

I understand that this video recording will be viewed only by Darcie Warden and faculty of Phoenix Rising Yoga Therapy. I reserve the right to revoke consent to use this video recording at any time by notification to  Darcie Warden within 48 hours of our session. Unless otherwise revoked, this Consent and Agreement will remain in effect for six months from the date of signing.


I am 18 years of age or older.