Esprit de Hoop Registration
Hosted by chashama & Amy of The Hoop Movement
Event Timing: June 14 & 15 // 8:00 - 9:30
Event Address: 55 Broadway, New York City
Contact us at
Personal information requested is required by chashama
Name *
Your answer
Home Address *
Your answer
Email *
Your answer
What days will you attend? *
I agree to send payment via: *
Because physical exercise can be strenuous and subject to risk of serious injury, we urge you to obtain a physical examination from a doctor before using any exercise equipment or participating in any exercise activity. You agree that by participating in physical exercise or training activities, you do so entirely at your own risk. You agree that you are voluntarily participating in these activities and use these facilities and premises and assume all risks of injury, illness, or death. We are also not responsible for any loss of your personal property. You acknowledge that you have carefully read this “waiver and release” and fully understand that it is a release of liability. You expressly agree to release and discharge the instructor, teaching assistants, and facility including, but not limited to, Amy L Rogers, The Hoop Movement, chashama from any and all claims or causes of action and you agree to voluntarily give up or waive any right that you may otherwise have a bring a legal action against the trainer, instructor, teaching assistants or facility for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of the release from liability shall remain in full force and effect and the offending provision or provisions severed here from. By agreeing to this release, I acknowledge that I understand its content and that this release cannot be modified orally. *
Looking forward to hooping with you!
xo Amy
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