Liability Waiver

Please complete this waiver form before participating in any Mindfully Rooted Yoga classes.

Personal Information

Health & Safety Information

Emergency Contact

Waiver of Notice/Liability

In any physical activity, risk of serious physical injury is possible. Yoga is no substitute for medical diagnosis and treatment. Yoga practice and/or specific poses are not recommended for individuals with certain conditions (to be discussed with your physician) and the student assumes the risk of yoga practice and releases Mindfully Rooted Yoga LLC, its owner and all staff from any and all liability claims.

Yoga/Fitness Release:

1. I recognize that yoga and fitness require physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I fully intend to use common sense when practicing yoga and will be mindful of my own physical limitations and current/prior injuries.

2. I understand that it is my responsibility to consult with a physician prior to, and regarding, my participation in class. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in yoga. If I have any comprehensive medical conditions, I have consulted with my physician to make sure that I can safely participate in class and know how to protect myself regarding these conditions. I have informed Mindfully Rooted Yoga LLC of all conditions.

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

4. In further consideration of being permitted to participate in these classes, I knowingly, voluntarily and expressly waive any claim I have against Mindfully Rooted Yoga LLC owner and all staff for any injury or physical/emotional damage that I may sustain as a result of participating in the program.

5. I, my heirs, and/or legal representatives willingly release and discharge Mindfully Rooted Yoga LLC, its owner and all staff, for proposed acts of negligence or otherwise. I fully understand that this release of liability and covenant not to sue is valid forever.

6. I have read the above waiver of liability and fully understand its contents and meaning.

Agreement

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