I HEREBY AGREE TO THE FOLLOWING:
1. I am participating in the Classes, Workshops, Intensives, Immersions, Conference, Festival, or Retreats offered by Daisy Steinfort, Kate Burkett, & hosting location, during which I will receive information and instruction about yoga, Thai massage, and acrobatics. I recognize that yoga, Thai massage, and acrobatics require physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
2. I understand that it is my responsibility to consult with a physician prior to any practice of physical exertion and regarding my participation in any or all offerings by Daisy Steinfort, Kate Burkett & hosting location. I represent, verify, and warrant that I am physically fit and that I have no medical condition that would prevent my full participation in any or all Best Beginner AcroYoga offerings.
3. In further consideration of being permitted to participate in any or all Best Beginner Acro Yoga or Seeds of Vibrance offerings, I knowingly, voluntarily and expressly waive any claim I may have against Daisy Steinfort, Kate Burkett, the hosting location, and any staff members or assistants, for injury or damages that I may sustain as a result of participating in yoga, Thai massage or acrobatics.
4. I further hereby indemnify and hold harmless Daisy Steinfort, Kate Burkett, & hosting location and assigns from any and all damages, liabilities, costs and expenses, including reasonable attorneys’ fees, arising out of or relating to any claim by a third party resulting from my practice or instruction in the field of yoga, Thai massage, or acrobatics.
5. I, my heirs or legal representatives forever release waive, discharge and covenant Daisy Steinfort, Kate Burkett, hosting location, and assigns for any injury or death caused by their negligence or other acts.
6. Photograph/Likeness/Videotape Release: As the enrolled participant and/or the parent/guardian of the enrolled participant, I authorize Daisy Steinfort, Kate Burkett and/or its representative, agent, or employee to photograph and/or videotape and use any photograph/likeness of me or my minor child for any purpose, including publicity, choreographic archives, promotional materials and/or any other reason deemed appropriate by Daisy Steinfort or Kate Burkett.
I have read the above release and waiver of liability and fully understand its contents. By signing below, I fully and voluntarily agree to the terms and conditions stated above.
Today's Date: January 15, 2019