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New Client Waiver


I am aware that Peace Love and Yoga, (PLaY) and their instructors, are here to serve me by sharing knowledge of yoga, fitness, breathing, meditation and other modalities. I recognize that these activities require physical exertion, which at times may be strenuous and may cause strain and/or 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 any live in-studio classes, or outdoor classes offered by PLaY. By my participation in any of these activities, I represent to you that I am physically fitand have no medical conditions, which would prevent my participation in these activities.

I agree to take full responsibility to not exceed my limits and for any risks, injuries, or damages, known or unknown, which I may incur as a result of participation in these activities offered by PLaY. It is my responsibility to ascertain that there is no medical reason to prevent my participation.

In further consideration of being permitted to participate in any live in-studio classes or outdoor classes offered by PLaY, I knowingly, voluntarily and expressly release, and waive any and all claims that I might have against PLaY, its officers, directors, employees, independent contractors and agents from any and all liability, loss or damages on account of any injury or damage to my person or property that I may sustain as a result of participation in a class at PLaY. I hereby release, covenant not to sue, discharge, and hold harmless PLaY, its employees, agents, and representatives, of and from all claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating hereto..


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
May we email you with exciting upcoming events?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
May we email you with exciting upcoming events?*
No
Yes
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.


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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
May we email you with exciting upcoming events?*
No
Yes
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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