Release of Liability

Time to give the lawyers their moment in the sun.  Before we can start, I need to have you complete this Release of Liability.  Please read through the text below, and check the box to indicate your acceptance of the terms.

Waiver, Release, and Assumption of Risk

This is an important legal document. It explains the risks you are assuming by beginning an exercise program. It is critical that you read and understand it completely. After you have done so, please confirm your acceptance by completing and submitting the form below.

Waiver, Informed Consent, and Covenant Not to Sue

I, , have volunteered to participate in a program of physical exercise under the direction of Yoga Belly, LLC., which will include, but may not be limited to, Yoga Therapy, yoga postures, breathing techniques, and meditation. In consideration of Yoga Belly, LLC, agreement to instruct, assist, and train me, I do here and forever release and discharge and hereby hold Yoga Belly, LLC harmless from any and all claims, demands, rights of action, or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any
injuries resulting therefrom.

THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF 1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK; 2) ANY SLIP, FALL, DROPPING OF EQUIPMENT OR PROPERTY WITHIN PREMISES; AND 3) AILMENTS DURING/POST INSTRUCTION.

Assumption of Risk

I, , recognize that exercise might be challenging and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain accelerated physical and emotional changes during yoga therapy, yoga, and exercise does exist. I understand that as a result of my participation in herein programs I could suffer an injury. I recognize that an examination by a physician should be obtained prior to involvement in any exercise program. If I , have chosen not to obtain a physician’s permission prior to beginning this exercise program with Yoga Belly, LLC, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SUBMITTING THIS FORM ELECTRONICALLY, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST YOGA BELLY, LLC.