Yoga on the Farm @ Notaviva Farm Brewer and Winery
BY SIGNING BELOW, YOU ARE AGREEING TO FOLLOW our social distancing and safety protocols. Although strict measures are being taken by your Notaviva Craft Fermentations and Jennifer Carpenter to prevent the spread of COVID-19 (such as social distancing, staggered classes, and deep sanitization, etc.), the undersigned acknowledges that attending classes at Notaviva Craft Fermentations taught by Jennifer Carpenter could result in COVID-19 infection. Accordingly, in addition to all waivers and limits on liability already agreed to by the parties and because of the COVID-19 Pandemic, the undersigned, HEREBY WAIVES AND RELEASES, indemnifies, holds harmless and forever discharges Notaviva Craft Fermentations, Jennifer Carpenter and its members, agents, employees, officers, directors, contractors, affiliates, successors and assigns, of and from any and all claims, demands, debts, prosecutions, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to participation in any of the events or activities conducted by, on the premises of, or for the benefit of, Notaviva Craft Fermentations and Jennifer Carpenter, provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct, further, it is acknowledged that operation during the pandemic does not fall into these categories. I also understand that the activities that I will participate in may be considered inherently dangerous and may cause serious or grievous injuries, including bodily injury, COVID-19 infection, loss of/damage to personal property, and/or death. On behalf of myself, my heirs, assigns, and next of kin, I waive all related claims for damages, injuries and death sustained to me or my property that I may have against Notaviva Craft Fermentations and Jennifer Carpenter. By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, COVID-19 infection, death, or damage to personal property associated with Notaviva Craft Fermentations and Jennifer Carpenter, including but not limited to receiving yoga training at the facility, using the facility and its equipment in any manner, form or fashion, and practicing and/or engaging in yoga activities or other related activities on and off the premises. I have read, understand, and fully agree to the terms of this Agreement. I understand and confirm that by signing the Agreement I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise, or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 years of age or older and mentally competent to enter into this waiver.
Clear selection
I AGREE TO THE FOLLOWING TERMS:• I understand the above symptoms and affirm that I, as well as all householdmembers, do not currently have, nor have experienced the symptoms listed above within the last 14 days.• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days.• I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days.• I affirm that I, as well as all household members, have not traveled outside of the country or to any city considered to be a “hot spot” for COVID-19 infections within the past 30-days.•
Clear selection
Date of Class Your Are Attending:
(If registering early, please input this as the date of the class you plan on attending.)
MM
/
DD
/
YYYY
Full Name:
Email Address: *
(Optional; allows me to contact you in the event of a class change or cancellation).
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy