Balance Yoga and Fitness Waiver
Agreement of Release and Waiver of Liability Form
Yoga Classes, Fitness Classes, and Workshops
Balance Wellness Center
10295 Main St. Suite 2
Clarence, NY 14031
I hereby agree to the following:I am participating in the Yoga and/or Fitness program offered by Balance Wellness Center (Balance) and its independently contracted instructors, during which I will receive Yoga instruction and participate in this activity. I recognize that Yoga may require physical exertion, which may be strenuous, and may cause physical injury, and I am fully aware of the risks and hazards involved.I understand that it is my responsibility to consult with a physician prior to and regarding my participation in a Yoga class or Workshop. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the Yoga Class and/or Workshop.In consideration of being permitted to participate in the Yoga class and/or Workshop offered at Balance, I knowingly, voluntarily, and expressly waive any claim I might have against Balance, its owners, instructors, for any injury or damages I may sustain as a result of participating in the program.I, my heirs, or legal representatives, forever release, waive, discharge, and covenant negligence or other acts.
I have read the above release and waiver of liability and fully understand its contents. By checking this box and typing my name below, I voluntarily agree to the terms and conditions as stated above.
I agree to the terms and conditions above.
Signature (Type Name Below (Parent or Guardian if Under 18)
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