RELEASE OF RESPONSIBILITY/LIABILITY

 

I hereby agree to the following:

 

1. I am participating in a yoga and yoga retreat that includes yoga, Pilates, breathing techniques, meditation and other exercise and healing activities (collectively, the “Activities”) offered by Tatiana Stollman of Wellness with Tatiana of Alameda, CA and/or other independent contractors, when applicable.

 

2. I recognize that I must be in good physical and mental health to participate in the Activities. I understand that the Activities require physical exertion and I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation in the Activities. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Activities. If I have consulted a physician, I have taken the physician’s advice. I understand that Tatiana from Wellness with Tatiana reserves the right in its absolute discretion to refuse my participation in an Activity on medical or fitness grounds.

 

3. I am in proper physical condition to participate in the Activities, and am aware that participation could, in some circumstances, result in abnormal blood pressure, fainting, heartbeat disorders, physical injury, potentially a heart attack. I also understand that I could experience muscle, back, bone or other physical injuries during exercise. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured. I understand that it is my continuing responsibility to inform Tatiana of Wellness with Tatiana of any previous medical conditions, injuries or surgeries prior to my yoga retreat with her and to inform her as well of any future changes to my medical condition.

 

4. In consideration of being permitted to participate in the Activities, I agree to assume full responsibility for any and all risks, injuries or damages, known or unknown, which I might incur as a result of participating in the Activities during the yoga retreat with Tatiana of Wellness with Tatiana.

 

5. In further consideration of being permitted to participate in the Activities, I knowingly, voluntarily and expressly waive any “Claims” (as defined below) I may have against Tatiana of Wellness with Tatiana, any employees she might have, volunteer staff, interns, and/or independent contractors and Bodhi Tree (each a “Released Party”), where the yoga retreat will take place, for any Claim that I may sustain as a result of participating in the Activities during the yoga retreat with Tatiana of Wellness with Tatiana even if the Claim arises from the carelessness or negligence of any Released Party or anyone else. I agree to indemnify and hold harmless each Released Party from any loss or liability incurred in defending any Claim made by me or anyone making a Claim on my behalf, even if the Claim is alleged to or did result from the carelessness or negligence of any Released Party or anyone else. “Claims” include but are not limited to any and all liabilities, claims, demands, expenses, fees, legal actions, rights of actions for damages, personal injury, mental suffering, and distress, or death that I may suffer, my children may suffer or that my unborn child may suffer (including any legal fees or expenses) in connection with participation in any Activity.

 

6. I, my heirs or legal representatives forever release, waive, discharge and covenant not to engage in any legal action or sue any Released Party for any Claim caused by any negligence or other acts of a Released Party.

 

7. I hereby opt into Tatiana’s email list, and I may receive periodic newsletters, announcements, updates, and additional information via my personal and/or work-related email address. I also understand I may unsubscribe at any time using the “unsubscribe” link on the received emails. This agreement shall be construed in accordance with, and governed by, the laws of the State of California.

 

I acknowledge that I have carefully read this release and waiver of liability and fully understand its contents. I voluntarily and knowingly agree to the terms and conditions stated herein. I am aware that by signing this release and waiver of liability, I am giving up substantial rights, including my right to sue and certain legal rights my heirs, next of kin, executors, administrators and assigns may have against any Released Party.

 

 

 

____________________________________________    ______________________

Name                                                                                  Date

 

 

 

____________________________________________     ______________________

Signature                                                                           Date