Waiver
Please read carefully
Yoga is a transformative practice that integrates physical, mental, emotional and spiritual aspects of the individual for self discovery and awareness.
Acknowledgement/Assumption of Risk of Injury
I acknowledge that there are certain risks of injury, damage or loss associated with participation in yoga. I agree to assume the full risk of any injury, loss or damages regardless of severity which I may sustain as a result of participating in the yoga class/classes.
Waiver
I hereby agree to, and do waive, release and relinquish all claims of every kind, known and unknown, present and future, that I may have against Maribel Alesna, arising out of, connected with, or in any way related to, the program and my participation therein.
In the event of an emergency, I authorize Maribel Alesna, to secure from any licensed hospital, physician or medical personnel any treatment deemed necessary for my immediate care and I agree I will be responsible for payment of any and all medical services required.
Indemnity and Defense
I further agree to indemnify and to hold harmless and defend Maribel Alesna, from any and all claims of every kind, known and unknown, present and future, that I may have arising out of, connected with, or in any way related to the yoga classes and my participation therein.
Name of Participant (Please print):
Signature:
Date:
Yoga is a transformative practice that integrates physical, mental, emotional and spiritual aspects of the individual for self discovery and awareness.
Acknowledgement/Assumption of Risk of Injury
I acknowledge that there are certain risks of injury, damage or loss associated with participation in yoga. I agree to assume the full risk of any injury, loss or damages regardless of severity which I may sustain as a result of participating in the yoga class/classes.
Waiver
I hereby agree to, and do waive, release and relinquish all claims of every kind, known and unknown, present and future, that I may have against Maribel Alesna, arising out of, connected with, or in any way related to, the program and my participation therein.
In the event of an emergency, I authorize Maribel Alesna, to secure from any licensed hospital, physician or medical personnel any treatment deemed necessary for my immediate care and I agree I will be responsible for payment of any and all medical services required.
Indemnity and Defense
I further agree to indemnify and to hold harmless and defend Maribel Alesna, from any and all claims of every kind, known and unknown, present and future, that I may have arising out of, connected with, or in any way related to the yoga classes and my participation therein.
Name of Participant (Please print):
Signature:
Date: