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Liability Waiver Form

Have you practiced yoga before?
Yes
No
Are you experiencing any injuries, medical issues and/or any important medical history that the instructor should know about?
Yes
No

Signature (Your Initial)

By signing this waiver, I agree and understand the following:

1. The practice of yoga has certain hazards and risks that may cause physical injury.

2. I have been advised to consult with a medical physician prior to joining a yoga class, workshop, or any session.

3. In case that instructors provide physical adjustments, I understand that I have the option to opt-out by letting my instructor know my wish not to have physical adjustments.

4. I hereby release, waive, discharge and hold harmless the institution, its directors, officers, staff, volunteers, affiliates, and partners from any and all liabilities arising from any untoward incident in my participation at any class, workshop, and relevant sessions which may result to injury, loss, damage, or death.

5. In the event that any dispute arises out of this agreement, and in the event that the dispute could not be resolved amicably, I agree that the dispute shall be resolved by mediation before a mutually agreed and selected mediator by both parties. In the event that a mediation proceeding fails to resolve the dispute, the matter shall be resolved with an arbitrator.

By signing this form, I hereby represent and warrant that I am physically fit and capable to participate at yoga classes, workshops, or activities. I agree and legally bind myself, with full understanding to the contents and meaning of the provisions above. I declare that I am over 18 years of age and fully capable in giving my consent.

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