Waiver

Please Print off and  bring to class filled out.  Thank you!

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FORM

I, ______________________________________________, hereby agree to the following:

  1. That I am participating in the Yoga Class/Workshop/Private Lesson, offered by Suzanne Richards, during which I will receive information and instruction about yoga and health. I recognize that yoga may require some physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
  2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga Class/Workshop/Private Lesson. I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation in the Yoga Class/Workshop/Private Lesson.
  3. In consideration of being permitted to participate in the Yoga Class/Workshop/Private Lesson, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.
  4. In further consideration of being permitted to participate in the Yoga Class/Workshop/Private Lesson, I knowingly, voluntarily and expressly waive any claim I may have against Suzanne Richards and the School of Holistic Living LLC owner for any injury or damages that I may sustain as a result of participating in the program.
  5. I, my heirs, and/or our legal representatives, forever release, waive, discharge and covenant negligence or other acts.

I have read the above release and waiver of liability and fully understand its contents as well as any associated Refund/Cancellation Policies. I voluntarily agree to the terms and conditions stated above.

REGISTRANT’S NAME: _________________________________________________

REGISTRANT’S SIGNATURE: ___________________________________________

DATE: ___________________________________

If registrant is under 18 a legal guardian’s authorization is required:

AS LEGAL GUARDIAN OF _________________________, I CONSENT TO THE ABOVE TERMS AND CONDITIONS.

GUARDIAN’S SIGNATURE: ______________________________________

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