This document is VALID AT ANY WORK ASHRAM LOCATION) for both the signing adult and all minors named below.
ONLY ONE ADULT MAY SIGN THIS DOCUMENT for themselves or on behalf of any minors named below, for whom the signing adult MUST BE A LEGAL GUARDIAN.
For every person in your group that is going to use this facility, please list their names and date of birth below. For guests younger than 18 years of age, a legal guardian must sign on behalf of the minor.
All minors must be accompanied or supervised by an adult in the same room.
I, the below-named person being eighteen or older in age, or the legal guardian of the below-named person(s) who is/are under 18, in consideration of the right to participate in all Work Ashram activities such as walking or running on treadmill, use of Meditation room or Yoga/Fitness/Dance studio, and the services of Work Ashram hereby acknowledge, agree, promise, on behalf of myself, my heirs, assigns, personal representatives and estate, and/or the minor(s) identified above, as follows:
Disclosure of Risks: The activities that are involved in Work Ashram experience may be unique and something that you have not experienced before. You can walk/bike/stand and work and burn more calories throughout the day but Walking/biking or standing and working on laptop may cause dizziness or loss of balance, If you feel any uneasiness or discomfort, you should stop immediately and take a break. While doing yoga, asana, meditation and mindfulness has been proven to be helpful in preventing depression and helping you to rediscover yourself, beware of entering into mediation in a distressed or anxious state. If you feel it helps then you should continue else please stop immediately and consult your Doctor. Although our rooms have large window glass but it might be covered with curtains and If you feel claustrophobic you should immediately leave the room.
In getting to and going through the various rooms and doing various activities at Work Ashram, you may encounter doors, objects, slippery surfaces and some low lit areas, low ceiling, narrow pathways and unfamiliar areas. There is a risk of physical and/or emotional injury, including, but not limited to sprains, strains, bumps, bruises, cuts, head, neck, or back injuries, broken bones, paralysis, or, death. Fingers and/or other body parts could also be severely injured or caught in treadmill, machines or other moving or fixed objects. There is also a risk of a slip, trip, or fall leading to head or other serious injuries, or of infectious disease (via possible pathogens such viruses etc.) from surface contact or from proximity to other people. You can not completely avoid any of these risks but you can minimize it so we suggest that you do not walk more than 2 (Two) Miles per hour on treadmill or bike at more than 5 (five) miles per hours while working. You can maintain social distance be more careful of your surroundings.
Further, the rooms inside Work Ashram are not monitored by any camera or surveillance system. In the event of an emergency inside Work Ashram, guests can utilize their cell phones or have a someone exit the room to seek help; however, each guest is advised that no one at Work Ashram is monitoring and there is typically no built-in means to communicate outside. Work Ashram is a shared workspace so our guests also select and/or agree to enter voluntarily and at their own risk, as behavior of other individuals within Work Ashram cannot be controlled or predicted. Each guest, and the signing legal guardian of minor guest, should know his or her and any minor's physical limitations, prior medical history, and current condition. If there is any health condition which could potentially be affected by strenuous physical and/or emotional activities and/or stress, then the participant should forego any activities with in Work Ashram. Each guest should consult their physician if there is any question about the their ability to engage in any of the activities at Work Ashram, which should be considered rigorous. Some conditions that may impact a participants ability to safely enter Work Ashram facility or engage in the activities could include pregnancy, current broken or fractured bones, high or low blood pressure, prior seizure disorder, other preexisting conditions or diagnosed/undiagnosed medical and mental conditions. By initialing at the bottom of this page, I acknowledge that the foregoing risks and information have been disclosed to me, and the minor(s) upon whose behalf I execute this Agreement.
ACCEPTANCE OF RISKS: I UNDERSTAND AND ACCEPT the foregoing risks on behalf of myself and the minor(s), and agree that my participation, or on behalf of the minor(s), is purely voluntarily. I, on behalf of myself and the minor(s) understand and accept the risks which may result in personal injury or wrongful death claims against Work Ashram, Waltham Traders, Inc and Arora Elm Square LLC and each of their respective officers, directors, agents, and employees [hereinafter collectively referred to as Releasees], including: (1) those risks set forth above; (2) the acts, omissions or negligence in any degree of Releasees, or their agents or employees; (3) latent or apparent defects or conditions in equipment, property or the facilities provided by Releasees; (4) the unexpected behavior of co-participants/guests, if any; and (5) first aid, emergency treatment or services rendered or failed to be rendered by Releasees, or their agents or employees.
I further understand that if I, or any of the minor(s) listed are injured, and require medical assistance, the cost of the same will be at the expense of myself and/or our medical insurer, and neither I, nor the minor(s) will seek the recovery of the same from Releasees.
By initialing at the bottom of this page, I acknowledge that I, on behalf of myself and/or the minor(s), fully accept the foregoing risks. I FURTHER ACKNOWLEDGE that the undersigned, and/or the minor(s): 1) are in good physical and mental health, and not suffering from any medical or emotional condition, disease or disablement; and 2) will not seek recovery of any medical expenses from Releasees if I and/or any of the minor(s) are injured. Further, I acknowledge that I am not purchasing or leasing the attraction/facilities, but rather, am being afforded a non-exclusive right to use the same. Additionally, I acknowledge that Releasees are providing recreational services.
RELEASE: I, for myself, my heirs, personal representatives, and the minor(s) identified above, voluntarily RELEASE and FOREVER DISCHARGE, and COVENANT NOT TO SUE Releasees, their employees and agents, as well as any owner of the property, and all other persons or entities affiliated therewith, from any and all liability, claims, demands, actions or rights or action, which are related to, arise out of, or are in any way connected with the participation in the activities offered at Work Ashram, including, but specifically not limited to, any and all negligence or fault of Releasees (to any degree) and their agents or employees. This Release includes, and is not limited to, claims, actions or lawsuits for personal injury, wrongful death, survivor actions, and all other claims that could legally be made relating to injury, property damage or death.
By initialing at the bottom of this page, I agree for myself, my heirs and representatives, and/or the minor(s), to give up the legal rights identified, which include the right to file any lawsuit, whatsoever, for personal injury, wrongful death, survivor actions, and all other claims that could legally be made relating to injury, property damage or death.
INDEMNITY: I further agree, promise and covenant, TO HOLD HARMLESS AND TO INDEMNIFY Releasees from all defense costs, including attorney's fees, or from any other costs incurred in connection with claims for bodily injury, wrongful death or property damage which may be filed by me or any of the minor(s) listed. Such indemnity and defense obligation shall further extend to any claim, loss or lawsuit which alleges that I or any of the minor(s) listed negligently or intentionally caused any injury, death or damage to participants or other third parties in the course of the participation in the activities.
By initialing at the bottom of this page, I agree to the foregoing terms of indemnity.
RULES AND INSTRUCTIONS: I, on behalf of myself, and/or the minor(s) listed above, agree to read and obey any and/or all written and oral rules, instructions and signs, during all times during all activities.
By initialing at the bottom of this page, I agree, for myself and/or the minor(s), to read and obey any and/or all written and oral rules, instructions and signs, during all times during all activities.
ELECTRONIC SIGNATURE: I understand that by agreeing, and accepting the terms of this Agreement in an electronic format (on-line, via a website), the acknowledgement by me, to the terms hereof, will serve as, and have the same legal effect, as an actual signature of the document.
By initialing at the bottom of this page, I agree to the foregoing terms of the Electronic Signature provision.
ENTIRE AGREEMENT: I understand that this is the entire Agreement between the undersigned and Releasees, and that it cannot be modified or changed in any way by the representations or statements of Releasees or any employee or agent of Releasees, or by the undersigned. My signature below indicates that I have read this entire document, understand it completely, and agree to be bound by its terms.
By signing this document, and making the initials above, I fully understand that it affects the legal rights of myself, my heirs, personal representatives, and/or the minor(s) set forth in this document. I further agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
By signing this document, I agree for myself and the minor(s), that the terms and conditions herein will apply for each and every visit made, and any and all activities at Work Ashram in this and all future visits.
Finally, I represent that I am the legal guardian of the minor(s) and have the legal capacity to execute this Agreement on behalf of the named minor(s). Please sign for yourself and the minor(s) for which you are the legal guardian, one signature representing both you and the minor(s) unless otherwise indicated to sign separately.
Please Initial below and sign for yourself and the minor(s) for which you are the legal guardian, one signature representing both you and the minor(s) unless otherwise indicated to sign separately.