Loading...

Utah Yoga & Wellness Liability Waiver

Warm greetings to you, my guest and participant of Utah Yoga & Wellness Hygge or Adventure Wellness Retreats & Events.By signing this waiver, you agree to participate willingly, of your own choice, releasing me (Elise Jones) Utah Yoga & Wellness and venue/venue owners from any responsibility for personal injury or mishap that could possibly occur during the retreat or event, as well as the following:

1. WAIVER OF LIABILITY

I am participating in yoga and other healing modalities and activities at the retreat/event, during which I will receive instruction about yoga and health. I recognize that yoga and other activities require physical exertion which may be strenuous. I am fully aware of the risks involved in participating in such a retreat. I represent and warrant that I have no medical condition that would prevent my full participation in the retreat. I will assume full responsibility for any risks, injuries, damages, known or unknown, which I might incur as a result of participating in the retreat. Activities include, but not limited to, yoga (including aerial & SUP) yoga therapy, fitness classes, water activities, cold and hot water immersion therapies in river/lake/crater, meditations, breath work, outdoor recreational activities (snow activities, snowmobiling, snorkeling, boating, hiking, horses, etc) and included foods/meals prepared & served during the retreat.

I knowingly, voluntarily, and expressly waive any claim I may have against any member of the staff for injury or damages I may sustain as a result of participating in the retreat. 

2. SMOKING

Smoking is not permitted inside our venues.

3. PETS

 We do not permit pets or other animal companions of any description. Pets or animal companions found in the rooms or on the grounds is grounds for eviction and forfeiture of any money paid.

4. ENTIRE TERMS AND CONDITIONS 

THESE TERMS AND CONDITIONS CONSTITUTE THE ENTIRE AGREEMENT AND UNDERSTANDING BETWEEN ANY GUEST AND US. NO ADDITIONAL PROVISIONS ARE EXPRESSED NOR IMPLIED. THESE TERMS AND CONDITIONS SUPERSEDE ANY AND ALL PREVIOUS AGREEMENTS, WHETHER ORAL OR WRITTEN, EXPRESSED OR IMPLIED, BETWEEN US. UPON SIGNING, EACH GUEST HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTOOD THESE TERMS AND CONDITIONS AND AGREES TO ACCEPT ALL OF THEIR TERMS, CONDITIONS, AND RESTRICTIONS, WITHOUT EXCEPTION.

 

Signature:____________________________________    Date:______________

 

 

 

Utah Yoga & Wellness Liability Waiver

Greetings to you, my guest and participant of Utah Yoga & Wellness Hygge or Adventure Wellness Retreats & Events. By signing this waiver, you agree to participate willingly, of your own choice, releasing me (Elise Jones) Utah Yoga & Wellness from any responsibilty for personal injury or mishap that could possibly occur during the retreat or event, as well as the following:

1. WAIVER OF LIABILITY: I am participating in yoga and other healing modalities and activities at the retreat/event, during which I will receive instruction about yoga and health. I recognize that yoga and other activities require physical exertion which may be strenuous. I am fully aware of the risks involved in participating in such a retreat. I represent and warrant that I have no medical condition that would prevent my full participation in the retreat. I will assume full responsibility for any risks, injuries, damages, known or unknown, which I might incur as a result of participating in the retreat. Activities include, but not limited to, yoga (including aerial & SUP) yoga therapy, fitness classes, water activities, cold and hot water immersion therapies in river/lake/crater, meditations, breath work, outdoor recreational activities (cross country skiing, snowmobiling, snorkeling, boating, hiking, horses, etc) and including foods/meals prepared & served during the retreat.  I knowingly, voluntarily, and expressly waive any claim I may have against any member of the staff for injury or damages I may sustain as a result of participating in the retreat. 

2. SMOKING: Smoking is not permitted inside our venues. Smoking is permitted outside the grounds, so long as it is at least 20 feet away from the entrance. All cigar/cigarette butts, wrappers, and/or other material must be properly discarded and, if found around the grounds, will necessitate additional cleaning costs.

3. PETS: We do not permit pets or other animal companions of any description. Pets or animal companions found in the rooms or on the grounds is grounds for eviction and forfeiture of any money paid.

4. ENTIRE TERMS AND CONDITIONS: THESE TERMS AND CONDITIONS CONSTITUTE THE ENTIRE AGREEMENT AND UNDERSTANDING BETWEEN ANY GUEST AND US. NO ADDITIONAL PROVISIONS ARE EXPRESSED NOR IMPLIED. THESE TERMS AND CONDITIONS SUPERSEDE ANY AND ALL PREVIOUS AGREEMENTS, WHETHER ORAL OR WRITTEN, EXPRESSED OR IMPLIED, BETWEEN US. UPON SIGNING, EACH GUEST HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTOOD THESE TERMS AND CONDITIONS AND AGREES TO ACCEPT ALL OF THEIR TERMS, CONDITIONS, AND RESTRICTIONS, WITHOUT EXCEPTION.

 

Signature:____________________________________    Date:______________

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle 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.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!