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Yoga Intake and Waiver

Please fill out the following form so we may prepare your session

I hereby agree to the following

  1. I am participating in classes or during which I will receive information and instructions about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury , and I am fully aware of the risks and hazards involved.

  2. I understand it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities.

  3. I agree to full responsibility for any risk , injury or damage known or unknown , which might incur as a result of participating in the class or event.

  4. I knowingly , voluntarily , and expressly waive any claim I may have against the instructor, the owner , or the leaseholder of the building for injuries or damages that I may sustain as a result of participating in the class or event.

  5. I have read the above release and waiver liability and fully understand its content.

I hereby release and agree to hold Soul Shine LLC harmless from, and waive on behalf of myself, my heirs and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Soul Shine LLC.

I understand that this release discharges Soul Shine LLC from any liability or claim that I, my heirs, or any personal representatives may have against the store with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Soul Shine LLC.

This liability waiver and release extends to the store together with all owners, partners, and employees.

Thanks for submitting!

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