Waiver Please complete the below waiver before coming to your first class Your Name (required) Your Email (required) If you are a student, what school do you attend? What other sports & activities do you participate in? Are there any other injuries or ailments that the instructor should know about? Are you currently taking medication or do you have any serious allergies that should be made known to the medical personnel in case of an emergency? Are you currently experiencing any of the following conditions? Asthma Heart/Circulatory Problems Dizzy spells/Fainting Pregnancy Neck/Back/Spine injury Joint injury (ankle, knee, hip, elbow, shoulder) High blood pressure Diabetes Epilepsy/Seizures Low blood pressure Muscular injury Recent surgery Other medical condition, injury or disability AWARENESS OF RISKS • I acknowledge that the instruction offered by Yogavision is limited to that of instruction in basic yoga and fitness training. • I acknowledge that there are risks associated with participation in the activities and programs offered or sponsored by Yogavision. I have informed myself and understand the risks associated with my participation in these activities and programs and (where applicable) my use of the facilities, including the risk of personal injury, and I freely accept these risks. • I understand that I am free to withdraw from or reduce my participation in the activities and programs offered or sponsored by Yogavision at any time. • I am not aware of any medical condition that would affect my ability to participate in the activities and programs offered or sponsored by Yogavision. If I have any concerns about my medical condition. I will consult with my physician before participating in the activities and programs offered or sponsored by Yogavision. RELEASE AND WAIVER In consideration of the acceptance of my registration for the activities and programs offered or sponsored by YogaVision, I hereby for myself, my heirs, executors, administrators, or any others who may claim on my behalf, promise not to sue, and hereby waive, release and discharge YogaVision and anyone acting for or on its behalf, from any and all claims of liability for personal injury, illness, loss of life or property damage of any kind or nature, arising out of or sustained in the course of my participation in the activities and programs offered or sponsored by YogaVision or attending YogaVision related events both on and off of the YogaVision Premises. This Release and Waiver applies to all claims, foreseen or unforeseen, including negligence and breach of statutory or other duty of care (including that owed under The Occupier's Liability Act). I agree that YogaVision is not responsible in the event of loss, damage, unauthorized use, theft, or injury resulting from and to any personal property that I bring onto the premises. I agree that this Agreement and Release and Waiver is intended to be as broad and inclusive as permitted by law. Any provision found to be invalid or unenforceable by a court shall not affect the validity or enforce-ability of any other provision. I have read this document carefully and acknowledge that I have complete knowledge and understanding of its contents. I recognize that by signing this document I am waiving certain legal rights, including the right to sue. I am signing this document voluntarily. * YogaVision means YogaVision, LLC., its officers, directors, shareholders, employees, contractors and instructors. By entering my name I understand & accept that this acts as my electronic signature to agree to the above. *If between the ages of 14-18 years, a legal guardian must consent to the conditions and terms and sign this additional release and waiver on behalf of the participant. All information will be kept strictly confidential.