AGREEMENT OF RELEASE AND WAIVER OF LIABILITY *
I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered by Hannah Kang/OMYOGA or any certified yoga instructors. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops. I understand the risks associated with the activities offered by Hannah Kang/OMYOGA or any certified yoga instructors and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities. I hereby WAIVE AND RELEASE Hannah Kang/OMYOGA or any certified yoga instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered by Hannah Kang/OMYOGA or any certified yoga instructors.. In taking part in the yoga classes, workshops, or other activities with Hannah Kang/OMYOGA or any certified yoga instructors, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities. I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above. Please print your full name and this will act as your electronic signature.
Name *
Name
signature of client/legal guardian.
Date *
Date
YOUR INFORMATION
do you have any physical limitations that could be aggravated by exercise such as high blood pressure, recent surgeries, back, neck, shoulder, or knee problems? if yes, please explain.
EMERGENCY CONTACT INFO
Emergency Contact *
Emergency Contact
Emergency Contact *
Emergency Contact
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