RUBBER SOUL YOGA REVOLUTION
Agreement of release and waiver of liability:
Please read and sign:
I hereby agree to the following: 1. That I am participating
in yoga classes during which I will receive information and instruction
about yoga and health. I recognize that yoga requires 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 yoga classes. I
represent and warrant that I am physically fit and have no medical
condition that would prevent my participation in yoga classes.
3. In consideration of being permitted to participate in the yoga
classes, I agree to assume full responsibility for any risks, injuries
or damages, known and 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 classes, I knowingly,
voluntarily, and expressly waive any claim I may have against the
instructor, the owner, or the leaseholder of the building for injuries
or damages that I may sustain as a result of participating in classes
or workshops held by Rubber Soul Yoga Revolution. 5. That if I
participate in other classes or events at Rubber Soul (such as dance,
pilates, trapeze arts, circus arts, theater, martial arts) that I will
also assume full responsibility for any injuries that may result from
my participation, with the same considerations that this waiver
stipulates for yoga (items 1-4 above).
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: _________________________________
If participant is under 18: As legal guardian of _________________________, I consent to the above terms and conditions.
Signature of parent/guardian: ________________________