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:
- 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.
- 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.
- 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.
- 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.
- 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: ___________________________________________
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: ______________________________________