YOGA IN SCHOOLS - Student and Parent Liability Release and Media Waiver
Yoga in Schools, LLC and Move Through Yoga, 501C3 are delighted to bring After School Yoga programming to your school. Each of our lessons during the 8 week unit is designed with the intention of safety first. Students will be moving a lot into yoga poses with the proper assistance of trained professionals. Students will also be focusing on breathing and being still. The Yoga in Schools programming, in conjunction with Move Through Yoga, ensures that each week's lesson is enriching for students' social-emotional education while also building physical strength and flexibility.

Please read, sign and submit both of these documents by the first day of your session. If these forms are not completed, the student will not be able to participate. If you have any questions or concerns, please do not hesitate to reach out to at
Email *
Student Name *
Student Grade *
Name of School *
How will your student get home after MTY? *
Liability/ Hold Harmless Release: I hereby release, waive, discharge and covenant not to sue the following entities and their respective officers, agents, servants, employees,parent, subsidiaries and affiliates: Yoga in Schools LLC, and their subsidiaries, affiliates, franchisees, their respective officers, directors, agents and employees(collectively, the “Indemnified Parties”)in connection with any liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or any of the property belonging to me, from any cause whatsoever, arising in connection with my participation in the Program taking place at the Facilities.I hereby acknowledge that I am voluntarily participating in the Program. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such activity.I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation.Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant , become pregnant or I am post-natal or post-surgical (although we recognize highly unlikely for the after school program), my signature verifies that I have my physician’s approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Yoga In Schools LLC and any subsidiaries including Move Through Yoga, LLC and 501c(3), and their instructors or agents of the company.I further agree to indemnify and hold harmless the Indemnified Parties from any loss, liability, damage or costs, including court costs and attorney fees that they may incur as a result of my participation in the Program at the Facilities.It is my express intent that this Waiver of Liability and Hold Harmless Agreement shall bind the members of my family, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a release,waiver, discharge and covenant not to sue the Indemnified Parties. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Colorado and all litigation arising in connection with this Waiver of Liability and Hold Harmless Agreement and/or participation in the Program shall only be brought in a court of competent jurisdiction in Colorado.I have read and fully understand and agree to the above terms of this Waiver of Liability and Hold Harmless Agreement.I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Colorado. *
Media Waiver: I am the parent/guardian of ____________________________________ (print full name of child) (“My Child”). I hereby grant Yoga in Schools, LLC (“YIS”) and their subsidiary company Move Through Yoga, LLC and 501c3 (“MTY”), and their agents the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of My Child, or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any YIS and MTY publication or on YIS and MTY websites, without payment or any other consideration.I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child’s likeness appears, or the use to which it may be applied. I hereby release, discharge, and agree to indemnify and hold harmless YIS and MTY, and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes, including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completion of the finished product, including publication on the internet, in brochures, or any other advertisements or promotional materials. I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release. By clicking the “consent” box, We/I hereby certify that We/I are/am the parent(s) or guardian(s) of the above named child and do hereby give our/my consent without reservation to the foregoing on behalf of My Child. *
Digital Signature of Parent or Guardian *
Age of student; 18 or older? *
In case of Emergency who should we contact and what is his/her phone number? *
Questions and comments (Optional)
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