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Participant Release and Waiver of Liability

PLEASE PRINT YOUR WAIVER AND HAVE IT DISPLAYED IN THE TOP LEFT CORNER OF YOUR YOGA MAT ANYTIME YOU ARE FLOWING.

 

I, hereby agree to the following:
 

I am participating in Monumental Yoga (“MY”), offered by INDY YOGA MOVEMENT (“”IYM”)
 

I recognize that I must be in good physical and mental health to participate in MY. I understand that MY may require physical exertion, and I represent and warrant that I am physically fit and I have no medical condition, which would prevent my full participation in MY. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in MY. If I have consulted a physician, I have taken the physician’s advice. I understand that the IYM reserves the right in its absolute discretion to refuse my participation in MY on medical, fitness or other grounds.
 

I am in proper physical condition to participate in MY, and I am aware that participation could, in some circumstances, result in abnormal blood pressure, fainting, heartbeat disorders, physical injury and potentially heart attack. I also understand that I could experience muscle, back and other injuries during exercise. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured.
 

In consideration of being permitted to participate in MY, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in MY by IYM.
 

In further consideration of being permitted to participate in MY, I knowingly, voluntarily and expressly waive any “Claim” (as defined below) I may have against the IYM (Released Party).for any Claim that I may sustain as a result of participating in MY if the Claim arises from the negligence of any Released Party or anyone else. I agree to indemnify and hold harmless the  Released Party from any loss or liability incurred in defending any Claim made by me or any one making a Claim on my behalf, even if the Claim is alleged to or did result from the negligence of any Released Party or anyone else.
“Claim” includes but is not limited to any and all liabilities, claims, demands, expenses, fees, legal actions, rights of actions for damages, personal injury, mental suffering and distress, or death that I may suffer, my children may suffer or that my unborn child may suffer (including any legal fees or expenses) in connection with participation in any Activity.

 

I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue any Released Party for any Claim caused by any negligence or other acts of Released Party.

 

I hereby understand that IYM from time to time may photograph or video MY and place such photographs and videos on its Website and social media pages. I hereby consent to the use of my image that may appear in any such photograph or video.
 

This agreement shall be construed in accordance with, and governed by, the laws of the State of Indiana. I acknowledge that I have carefully read this release and waiver of liability and fully understand its contents. I voluntarily and knowingly agree to the terms and conditions stated herein. I am aware that by signing this release and waiver of liability, I am giving up substantial rights, including my right to sue and certain legal rights my heirs, next of kin, executors, administrators and assigns may have against the Released Party.
 

Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19.
 

I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of IYM and
 

I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of IYM

 

First Participant's Name

First Name*

Last Name*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
*If the participant is under 18 years of age: As a legal guardian of undersigned, I consent to the above terms and conditions.


By signing below the parent or court-appointed legal guardian agrees that they are also 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*
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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