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WAIVER AND RELEASE OF LIABILITY

In consideration of the risk of injury while participating in GOGA (Goat Yoga) (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Van and Cathi Huff/Love GOGA LLC, located at 325 5 Acre Road, Milton, Georgia 30004, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity.

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY.

I agree to indemnify and hold harmless Van and Cathi Huff/Love GOGA LLC against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If Van and Cathi Huff/Love GOGA LLC incurs any of these types of expenses, I agree to reimburse Van and Cathi Huff/Love GOGA LLC.

I acknowledge thatVan and Cathi Huff/Love GOGA LLC and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of Van and Cathi Huff/Love GOGA LLC.

I acknowledge that this Activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE Van and Cathi Huff/Love GOGA LLC AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Van and Cathi Huff/Love GOGA LLC FOR PERSONAL INJURY OR PROPERTY DAMAGE.

To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of Van and Cathi Huff/Love GOGA LLC, its agents, and employees.

In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

In the event that any damage to equipment or facilities occurs as a result of my or my family's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

This Agreement was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Participant and Van and Cathi Huff/Love GOGA LLC agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into.

In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.

I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will.

Today's Date: December 9, 2019

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows: I hereby certify that I am the parent or guardian of "Minor" and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Photo Release Form
Client Image Agreement

During classes, workshops and events, photos may be taken. We would like to be able to use these images to help promote our programs to others.

I give permission to Love Goga ATL, Goga Goat Yoga to use my name and any the following purposes: 

On Love Goga ATL, Goga Goat Yoga website, social media & blog*
No
Yes
On other websites*
No
Yes
For Love Goga ATL, Goga Goat Yoga personal marketing*
No
Yes
For editorial use in Magazines or Newspapers*
No
Yes
For commercial use*
No
Yes
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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