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Release what's not serving you and move into a happier, stronger, more authentic, you!

Let's physically push into our edges and discover all our intangible rewards! 

STUDENT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Release Studio, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “RELEASE STUDIO”), I hereby agree to release, indemnify, and discharge RELEASE STUDIO, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

I acknowledge that my participation in floor based yoga, acroyoga, acropole, dancing, acrobatics, and other movement based instruction activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. I acknowledge and appreciate that the challenge, the risk, is part of the learning process and I am excited about it! The risks include, among other things: slips and falls; falling from equipment or other humans; pole burns;  pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; strains, cuts, bruises, muscle soreness and fractures; musculoskeletal injuries including head, neck, and back; injuries to internal organs; the negligence of other people; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. You may more likely experience, although not guaranteed, a more open heart; more open mind; and find you get more excited about the things that once scared you. Participation with humans and less animated equipment such as pole or lyra, raises the possibility of any manner of accidents. In any event, if you or your child is injured, any medical assistance will be at your own expense. Furthermore, RELEASE STUDIO instructors have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They might misjudge other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. 3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless RELEASE STUDIO from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of RELEASE STUDIO’s equipment or facilities, including any such claims which allege negligent acts or omissions of RELEASE STUDIO. 4. Should RELEASE STUDIO or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical conditions I may have. 6. In the event that I file a lawsuit against RELEASE STUDIO, I agree to do so solely in the state of Colorado, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against RELEASE STUDIO on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

PARENT’S OR GUARDIAN’S ADDITIONAL INDEMNIFICATION (must complete for participants under age of 18)

In consideration of Minor being permitted by PLAY to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless PLAY from any and all claims which are brought by or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

 

First Student Name

First Name*

Middle Name

Last Name*

Phone*
First Student Date of Birth*
First Student Signature*
Second Student Name

First Name*

Middle Name

Last Name*
Second Student Date of Birth*
Third Student Name

First Name*

Middle Name

Last Name*
Third Student Date of Birth*
Fourth Student Name

First Name*

Middle Name

Last Name*
Fourth Student Date of Birth*
Fifth Student Name

First Name*

Middle Name

Last Name*
Fifth Student Date of Birth*
Sixth Student Name

First Name*

Middle Name

Last Name*
Sixth Student Date of Birth*
Seventh Student Name

First Name*

Middle Name

Last Name*
Seventh Student Date of Birth*
Eighth Student Name

First Name*

Middle Name

Last Name*
Eighth Student Date of Birth*
Ninth Student Name

First Name*

Middle Name

Last Name*
Ninth Student Date of Birth*
Tenth Student Name

First Name*

Middle Name

Last Name*
Tenth Student Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Middle 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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