AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
I, ___________________________________________, hereby agree to the following:
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1. That I am participating in Yoga Classes, Health Programs, or Workshops offered by
__________________, during which I will receive information and instruction
about yoga and health. I recognize that yoga requires physical exertion that 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 Yoga Classes, Health Programs or Workshops. I represent and warrant that I
am physically fit and I have no medical conditions that would prevent my full participation in
the Yoga Classes Health Programs or Workshops
3. In consideration of being permitted to participate in Yoga Classes, Health Programs or
Workshops, 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. On further consideration of being permitted to participate in Yoga Classes, Health Programs
or Workshops, I knowingly, voluntarily and expressly waive any claim I may have against
_________________________ for injury or damages that I may sustain as a result of
participating in the program.
5. I, my heirs, or legal representatives forever release, waive, discharge and covenant not to
sue _____________________ for any injury or death caused by her negligence or other
acts.
I have read the above release and waiver of liability and fully understand its contents. I
voluntarily agree to the terms and conditions stated above.
SIGNATURE OF PARTICIPANT:________________________________________________________
