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STUDIO B POWER YOGA
STUDIO B POWER YOGA
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In checking the box below I understand that the services offered by STUDIO B POWER YOGA LLC doing business as STUDIO B POWER YOGA (“Provider”) may involve strenuous physical activity and, in some cases, extreme heat or other conditions. I understand that vigorous physical activity, particularly in a heated room, can cause dehydration, dizziness, nausea, fainting, heat exhaustion and heatstroke and may result in serious physical injury or death. Participation in yoga or barre sessions may challenge my cardio-respiratory and musculoskeletal systems, and may be potentially hazardous if my body is not equipped to handle these challenges. I desire to participate in Provider’s yoga and/or barre sessions, at my own risk, with the full knowledge of the possibility that physical injury could result from my participation. I have recently consulted with a physician who has evaluated my physical condition, and I am not aware of and have not been advised of any condition, impairment, problem, disease or illness that may cause injury resulting from my participation in yoga and/or barre sessions. I understand that certain medical conditions, such as pregnancy, heart or lung conditions, high or low blood pressure, asthma, broken bones or sprained muscles may increase the risk of injury. If I suffer from any of these conditions, or any other condition, impairment, disease or illness, I will consult with my physician regarding whether participation in yoga and/or barre sessions is appropriate and safe. Regardless of my physical condition, I understand that there is an inherent risk associated with participation in any yoga and/or barre session and I agree to accept those risks. I understand that Provider and Provider’s employees, members, officers, contractors, agents and representatives will not be liable to me in any circumstances and I agree not to assert any claim, demand or cause of action to the contrary. I fully waive, release and discharge any and all claims that I may otherwise be able to assert in the future against Provider and Provider’s employees, members, officers, contractors, agents and representatives that arise in any way from my participation in Provider’s yoga and/or barre sessions or my use of Provider’s facilities and equipment. I assume all risk and responsibility for bodily injury and property damage, whether known to me or unknown and whether foreseen or unforeseen, that may result from my participation in yoga and/or barre sessions. I expressly agree that Provider and Provider’s employees, members, officers, contractors, agents and representatives will not be liable to me, my heirs, successors or assigns for any claims, demands, injuries, damages, actions or causes of action whatsoever arising out of or connected in any way with my participation in Provider’s yoga and/or barre sessions or my use of Provider’s facilities and equipment, including claims, demands, injuries, damages, actions or causes of action arising from acts or omissions, including acts or omissions that are intentional, reckless or negligent, on the part of Provider and/or Provider’s employees, members, officers, contractors, agents and representatives. If I suffer any injury or loss arising from my participation in Provider’s yoga and/or barre sessions or my use of Provider’s facilities and equipment, I understand that neither Provider nor Provider’s insurers will be liable to pay for or reimburse me for such injury or loss. I understand that physical contact with the teacher or leader of Provider’s yoga and/or barre sessions or with other participants may result from my participation in Provider’s yoga and/or barre sessions and I consent to such physical contact. I understand that the services provided by Provider are not medical services and that neither Provider nor its employees, members, officers, contractors, agents and representatives will provide me with medical advice. This document and any other information provided to me by Provider is not medical advice and is not a substitute for the advice of a physician. If the name printed above is that of a minor, then I am signing below as the minor’s legal guardian and represent that I have the legal authority and capacity to sign. I understand that by signing as guardian below I am waiving and releasing the minor’s claims both for the minor and for myself. This waiver and release is signed in consideration of and in exchange for Provider’s provision of services to me. I may not and will not participate in Provider’s yoga and/or barre sessions unless I agree to the above waiver and release. My signature below and my participation in Provider’s yoga and/or barre sessions confirms my agreement to the above waiver and release. I agree to be legally bound by the above waiver and release, and I acknowledge that this waiver and release will apply to my heirs, successors and assigns.
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