Beth Meyer Synagogue Yoga Waiver 2018 - 2019
All participants in any yoga program at Beth Meyer Synagogue must fill out this form, or a hard copy available in the office, before attending.
At the beginning of each yoga program, I will inform the teacher of any injuries or medical conditions, if I am pregnant, or if I have had any recent surgeries. *
I acknowledge that I am ultimately responsible for my own personal health and safety, and any injuries or illness incurred during yoga programs are not the fault of Beth Meyer Synagogue, its officers, directors, managers, shareholders, employees, agents, landlords, lessees, sponsors, instructors, representatives, volunteers, and affiliates (hereafter the “Released Parties”). *
If I have any doubt whether any of the yoga programs at Beth Meyer Synagogue are suitable for me, especially in regards to existing injuries or conditions, I will consult my physician before beginning the program. *
In exchange for permission to participate in Beth Meyer Synagogue’s yoga programs, I hereby enter into the following release and waiver of liability, assumption of risk and indemnity agreement. I, for myself, my heirs, spouse, executors, administrators, personal representatives and assignees, WAIVE, RELEASE, DISCHARGE, INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the Released Parties from, and against any and all liability, responsibility, damages, losses, claims, demands, actions, suits, judgments, costs and expenses (including attorneys’ fees) resulting from personal injury, accident, illness, death and/or property loss caused in any manner, including the simple, active or passive negligence of the Released Parties, by my participation in the Beth Meyer Synagogue’s yoga programs. *
I certify that I have read, understand and agree to the information and provisions in this document. *
Type your name below. This constitutes an electronic signature.
If participant is under the age of 18, the signature of a parent or guardian is required, and such person’s signature will evidence agreement on behalf of such participant with the information and provisions in this document. *
A parent or legal guardian must type their name below.. This constitutes an electronic signature.
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