“WAIVER & RELEASE OF LIABILITY -- THIS YOGA CLASS AGREEMENT CONTAINS A WAIVER & RELEASE OF LIABILITY AND INDEMNITY AGREEMENT IN SECTION “IV” ON THE REVERSE SIDE OF THIS DOCUMENT TO WHICH YOU WILL BE BOUND, AND UNDER WHICH YOU WILL BE WAIVING IMPORTANT LEGAL RIGHTS. DO NOT SIGN THIS AGREEMENT BEFORE YOU READ IT.”
I hereby agree to the following:
My child has permission to attend a yoga class at The Little Yogi.
My child is participating in classes during which they will receive information and instruction about yoga, meditation 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. I understand that it is my responsibility to consult with a physician prior to and regarding my child’s participation in any physical fitness program, including yoga. I represent and warrant that my child has no medical condition that would prevent their participation in physical fitness activities.
In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which my child might incur as a result of participating in the program. In further consideration of being permitted to participate in the yoga classes, 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 my child may sustain as a result of participating in classes or workshops held at the Little Yogi.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above
Parent’s or Guardian’s Name
Child’s Name Child’s Date of Birth
Parent’s or Guardian’s Phone Number
Parent’s or Guardian’s Email
Please list any medical concerns the yoga teacher should be aware of
How did you hear about this class?
