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Photo and Liability Forms

The Legal Stuff....
Release of Liability Waiver

I agree that I am solely responsible for my own health and safety at all times during the Blissology Immersion and Yoga Teacher Training from May 1 - 31, 2019 in Canggu, Bali, including EcoKarma from May 17 - 19 in Les and any public classes. Neither Blissology, Eoin Finn, nor workshop assistants and facilitators shall be held liable for any injury, disease or death related to this program on or off-site. This includes but is not limited to transportation and sporting activites while in Bali even outside the dates of the course.

I agree to assume all risks associated with the program in any way. Furthermore, I also agree to inform the instructor of any movements which I cannot safely perform, and I will not perform any activity or movement, which I feel is likely to cause me to injure myself. I will inform the teachers and/or assistants of any limitations or medical conditions that may affect my practice.

I agree to treat my body with patience, compassion and respect during my practice. I understand I can stop and rest at anytime.

I agree to release Blissology, Eoin Finn, workshop assistants and facilitators from all liability for any injuries sustained as a result of my participation.

Blissology & Eoin Finn Yoga
151 - 1917 W.4th Ave.
Vancouver, BC
Canada
V6J 1M7

Signature:


Date: April 23, 2019


Audio/Video and Photographic Release Form

In the below agreement Blissology, Eoin Finn, and Blissology facilitators, photographer, videographer and assistants are all one and the same.
I hereby authorize Blissology sole and exclusive rights to use, publish, copy, print, copyright or
electronically transfer the photo set entitled (list name/Bali/YTT/number of photos) purchased by
Blissology for (amount) on (date).
I also agree that Blissology may use such photographs, video and audio recordings taken by me or of me with or without my consent or the use of my name for any lawful purpose, including but not limited to; publicity, illustration, advertising, marketing, copyrighting and Web content.
I hereby irrevocably authorize Blissology to edit, alter, copy, exhibit, publish or distribute this media for Blissology activities, events, and functions or for any other lawful purpose.
In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.
Additionally, I waive any right to royalties or other compensation arising or related to the use of any of these photographs, video, or audio clips.
I hereby hold harmless and release and forever discharge the Blissology from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I am 21 years of age and am competent to contract in my own name. I have read this release before
signing below and I fully understand the contents, meaning, and impact of this release. If student is under the age of 21, a parent or guardian must sign.

Signature:


Date: April 23, 2019

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 21 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
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*
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*
Parent or Guardian's Date of Birth*
I certify that I am 21 years of age or older
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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