Welcome to Roots Yoga...  

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY  

I,  

____________________________________________________ _____, hereby agree to the following:  

That I am participating in yoga classes/workshops at Roots Yoga  North LLC, during which I will receive information and instruction  about yoga. I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully  aware of the risks and hazards involved.  

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I understand that it is my responsibility to consult with a  physician prior to and regarding my participation in the yoga  class/workshop. I represent and warrant that I am physically fit  and have no medical condition that would prevent my full  participation in yoga classes/workshops.  

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I understand that instructors may sometimes physically adjust a  student during yoga classes/workshops. If I do not want such  physical adjustments, I will inform the instructor at the beginning  of each class or workshop.  

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In consideration of being permitted to participate in yoga classes/ workshops, I agree to assume full responsibility for any risk,  injuries or damages, known or unknown, which I might incur as a  result of participating in the yoga class/workshop.  

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In further consideration of being permitted to participate in yoga  classes/workshops, I knowingly, voluntarily and expressingly  waive any claim I may have against Roots Yoga North, LLC for  injury or damages that I may sustain during or as a result of  participation in the yoga class/workshop.  

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I my heirs or legal representative forever release waive,  discharge and covenant not to sue Roots Yoga North, LLC (this  includes Roots Yoga North LLC’s owners, instructors, employees, agents, and representatives) for any injury or death caused by  their negligence or other acts.  

Roots Yoga North LLC is not responsible for any personal  belongings I bring or leave at the studio. I agree to let Roots Yoga  North, LLC use any photograph (or any other photo, audio, or  video likeness) taken or recorded at the studio for any marketing  or informational purpose they deem suitable.  

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I have read the above release and waiver of liability and fully  understand its contents. I voluntarily agree to the terms and  conditions stated above. I am over 18 years of age.  

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This section pertains to children under the age of 18  years : 

Liability Clause:  

This is to certify that I, and I as legal parent/guardian with legal  responsibility for this participant, do consent and agree to his/her  release for this program, I release and agree to indemnify and  hold harmless all instructors, Roots Yoga, the host studio or other  class location, and their shareholders, directors, officers,  employees, representatives and agents harmless from any and all  loss, claim, injury, damage or liability pertaining to my minor  child’s involvement or participation in this program, even if arising  from their negligence, to the fullest extent permitted by law.  

 

Medical Release:  

I hereby give consent for emergency medical care by a duly  licensed MD, or Doctor of Dentistry. This care may be given under  whatever conditions are necessary to preserve the life, limb, or  well-being of me or my dependent.  

 

Photography Release:  

I understand that the participant may be photographed while  having fun in yoga class. The photographs will be the property of  Roots Yoga and no compensation will be given to my child or me  if these photographs are used by Roots Yoga. I understand the  photographs will be used for promotional or training purposes 

only. I also understand I may have a digital copy of any photos  taken of my child to be sent via email upon request.  

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Signature____________________________________________ ____________ Date______________