I, __________________________________________________hereby agree to the following:
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That I am participating in the Yoga classes or any other exercise programmes offered by (instructor‘s name) ___PADMAKARMA_____________________________________during which I will receive information and instruction about yoga, physical exercise or health. I recognize that exercise requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
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I understand that it is my responsibility to consult a physician prior to and regarding my participation in the yoga classes, health programs or workshops offered by (instructor’s name)___PADMAKARMA__________________________________
I represent and warrant that I am physically fit and I have no medical condition, which would prevent my full participation in these yoga classes, health programmes or workshops.
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If I am pregnant I understand that I participate fully at my own risk and that of my unborn child/children.
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In consideration of being permitted to participate in the yoga classes, health programmes or workshops, I agree to
assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of
participating in the programmes offered by (instructor’s name)____PADMAKARMA_______________________________________________
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In further consideration of being permitted to participate in the yoga classes, health programmes or workshops, I
knowingly, voluntarily and expressly waive any claim I may have against (instructor’s name)____PADMAKARMA_________________
or the instructor for injury or damages that I may sustain as a result of participating in these programmes.
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I understand that from time to time during yoga classes, the instructor may physically adjust students’ form and posture. If I do not want such physical adjustments, I will so inform the instructor at each class I attend. I also acknowledge that if I do wish to receive such adjustments, it is my responsibility to inform the instructor when an adjustment has gone as far as I desire at that time.
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I ______________________________hereby take full and sole responsibility from any liability of loss or damage to personal property associated with yoga classes or any other events.
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I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue (instructor’s name)
_____PADMAKARMA_______________________________________________________ or its employees for any injury or death caused by their negligence or other acts.
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 under my own free will.
Name ______________________________Signature _____________________Date