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Release of Liability and Assumption of Risk Agreement

Release of Liability and Assumption of Risk Agreement: I acknowledge that it is my duty to exercise ordinary care for the protection of others and myself while attending classes at Hot Asana Yoga Studio LLC. I assume the risk of physical activity with my own physical condition. I have received advice from my doctor that I am capable of physical exercise such as provided by Hot Asana Yoga Studio LLC, or I will seek such advice prior to participating, or I will assume the risk of exercising without a doctors examination.

I take complete responsibility for my presence at Hot Asana Yoga Studio LLC and I will not hold Hot Asana Yoga Studio LLC, its owners or instructors responsible for any injuries or loss I may incur as a result of my participation in any yoga classes or other activities associated with Hot Asana Yoga Studio LLC. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured. I am in proper physical condition to participate in heated yoga classes, and am aware that participation could, in some circumstances, result in physical injury, serious physical injury or death and I am knowingly assuming that risk.

I hereby confirm that I have read and fully understand this Release of Liability and Assumption of Risk agreement, fully understand its terms, and sign it freely and voluntarily without inducement. This form continues to be effective as long as I attend classes at Hot Asana Yoga Studio LLC.

I Agree

First Yogi's Name

First Name*

Last Name*

Phone*
First Yogi's Date of Birth*
First Yogi's Signature*
Second Yogi's Name

First Name*

Last Name*
Second Yogi's Date of Birth*
Third Yogi's Name

First Name*

Last Name*
Third Yogi's Date of Birth*
Fourth Yogi's Name

First Name*

Last Name*
Fourth Yogi's Date of Birth*
Fifth Yogi's Name

First Name*

Last Name*
Fifth Yogi's Date of Birth*
Sixth Yogi's Name

First Name*

Last Name*
Sixth Yogi's Date of Birth*
Seventh Yogi's Name

First Name*

Last Name*
Seventh Yogi's Date of Birth*
Eighth Yogi's Name

First Name*

Last Name*
Eighth Yogi's Date of Birth*
Ninth Yogi's Name

First Name*

Last Name*
Ninth Yogi's Date of Birth*
Tenth Yogi's Name

First Name*

Last Name*
Tenth Yogi's Date of Birth*
Yogi's Address
Address Line 1:
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:
City:
State/Province:
Zip/Postal:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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