Nubia Lives Yoga, LLC Event Waiver & Media Release
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Event Name
Event Date
Event Location
Class Participation Waiver
I understand that yoga, meditation and breathwork includes physical movements as well as opportunities for relaxation, stress reduction and relief of muscular tension. As such, I will ensure that my child and I are prepared in clothing conducive for physical activity. I understand that it is my responsibility to consult my primary care physician for all medical and mental health care regarding my child(ren) and myself. I further understand that yoga, breathwork and meditation are not a substitutes for medical and mental health attention, examination, diagnosis or treatment. In the case where my child(ren) and I have an injury, sickness or other issue that may be affected by physical activity, I have consulted with a physician to ensure my child(ren) and I can take yoga classes.

I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. For the safety of my child(ren) and other children in the class, I will excuse my child from yoga class if they have a contagious illness, fever, dehydration or chicken pox, lice, whooping cough or COVID.

I accept that neither the instructor nor the hosting facility is liable for any injury or damages, to persons or property, resulting from my child(ren) and I taking this class.

Media Release
I understand that my child(ren) and I may be photographed/recorded while participating in kids jamm yoga classes and events. I understand that this material may be used for promotional materials including digital, electronic, broadcast, print and illustration. I waive the right to inspect or approve the finished product wherein the photographs, illustrations and recordings may appear. I also understand that this material may be used in diverse commercial and educational settings within an unrestricted geographic area. My child(ren) and I will not be identified by name without my verbal or written permission. I fully understand that no compensation or royalties will be extended for photographs/recordings of my child (ren) and I taken during kids jamm classes or events.

Parent/Caregiver 1 Full Legal Name
Parent/Caregiver 2 Full Legal Name
Child 1 Full Legal Name
Child 2 Full Legal Name
Child 3 Full Legal Name
Child 4 Full Legal Name
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