Release of Liability

I am solely responsible for my own health and safety at all times during the Rejuvenate in Paradise Bali Yoga retreat in Ubud, Bali, from 3/20-3/26 2018.  Kiyomi Takahashi shall not be held liable for any injury related to this retreat. Some of the program on this retreat requires physical exertion; we recommend that you consult your physician. If any movement hurts or is uncomfortable, it is your responsibility to not take your exercise to a level of discomfort or pain.

I agree to assume all risks associated with the program in any way. My initials here indicate my understanding of and agreement with the preceding.

I agree to inform the instructors of any movements which I cannot safely perform, and I will not perform any activity or movement, which I feel, is likely to cause me to injury. My initials here indicate my understanding of and agreement with the preceding.

I will inform the teachers and / or assistants of any limitations or medical conditions that may affect my practice. My initials here indicate my understanding of and agreement with the preceding.

I agree to treat my body with patience, compassion, and respect during my practice and I understand I can stop and rest at anytime. My initials here indicate my understanding of and agreement with the preceding.

I agree to release Kiyomi Takahashi from all liability for any injuries sustained as a result of my participation. My initials here indicate my understanding of and agreement with the preceding.

I will not hold Kiyomi Takahashi liable during the Rejuvenate in Paradise Bali Yoga Retreat for any loss or damage to baggage or property or for personal injury or death resulting from acts, omissions, or negligence of any provider of services or accommodations, due to other causes beyond the control of Kiyomi Takahashi. I will also not hold Kiyomi Takahashi liable for any loss or additional expenses or inconvenience resulting from acts or omissions of any carrier or any other supplier of services or facilities, delays, cancellations, re-routings and any other actions caused by weather, political disturbances, strikes, lockouts, riots, war, terrorist actions, insurrections or any other reason.

Kiyomi Takahashi in agreement with Bagus Jati retreat center have the right to cancel or change the schedule of all or any part of any program or extension if it considers such action to be in the general interest of participants or their safety, and I waive all claims against Kiyomi Takahashi arising from such actions or decisions. Kiyomi Takahashi reserves the right to substitute guides and to alter the itinerary when necessary.   My initials here indicate my understanding of and agreement with the preceding.

Release of Liability: Traveling

I am required to purchase individual trip insurance.  

If I reside outside the U.S. I will check the coverage on my own.  Kiyomi Takahashi recognizes deposits as officially being received on the date she green-lights the retreat.  My deposit and any payments made within 75 days of the retreat start date are non-refundable.   My initials here indicate my understanding of and agreement with the preceding.

I understand Kiyomi Takahashi will not be held responsible for any delay, additional expense or inconvenience that may be caused directly or indirectly by events outside of her control (ie: late arrival/departure of flights, civil disturbance, fire, flood, cyclones, severe weather, and acts of government, machinery or equipment failure, or cancellations for any reason.) No refunds will be given for “no shows” or days not used resulting from the above aforementioned.   My initials here indicate my understanding of and agreement with the preceding.

I agree to release Kiyomi Takahashi from any responsibility and liability if my luggage is lost. I agree that I am solely responsible for my belongings and monetary possessions. I understand that if I decide to cancel my trip, the deposit is non-refundable under any circumstances. I understand that the itinerary can be subject to change without notice depending on weather and unforeseen events. My initials here indicate my understanding of and agreement with the preceding.