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EVER-PRESENT YOGA, LLC AGREEMENT OF RELEASE AND WAIVER OF LIABILITY

This form covers all classes offered by Ever-Present Yoga, LLC.   Please fill out the following, being sure to read and initial each paragraph.

I, hereby agree to the following:

That I am participating in yoga classes, health programs or workshops (each, a “Program”) offered by Ever-Present Yoga, LLC, during which I receive information and instruction about healthy and safe practice. I recognize that these classes and workshops may require physical exertion, which may be strenuous and could cause or aggravate a physical injury, and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in yoga classes, health programs or workshops. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in these yoga classes, health programs or workshops. I understand that Ever-Present Yoga, LLC shall have the right, in its sole discretion, to refuse to allow me to participate in some or all Programs, and I shall have of recourse against Ever-Present Yoga except with respect to the return of pre-paid amounts for such Program or Programs

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I further agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program. I agree to inform my instructor/teacher of any physical limitations, physical discomfort and/or injuries before or during classes, and I take full responsibility for nondisclosure.

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In further consideration of being permitted to participate in any Programs, I, my heirs and assigns and my legal representatives hereby forever release, waive, discharge and covenant not to sue Ever-Present Yoga, LLC, or any of its officers, members, agents or employees (the “Releasees”) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me, or to any property belonging to me, while participating in any of its Programs, regardless of whether such loss is caused by the negligence or intentional misconduct or any Releasee, or otherwise and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law.

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I have read the above release waiver of liability and fully understand its contents. I voluntarily agree to its contents. I voluntarily agree to the terms and conditions stated above.

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Please inform your instructor of any discomfort BEFORE or DURING class.

Date: December 5, 2020

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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*
Participant'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*
SIGN-UP FOR CLASS ANNOUNCEMENTS
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

HOW DID YOU LEARN ABOUT EVER-PRESENT YOGA?
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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