Every student participating in Align Yoga and Wellness classes, whether online or in person, is required to read, acknowledge full understanding and sign the following waiver.
Release and Waiver of Liability
Name: _______________________________________
Date of birth: ________________________________
Street Address: ______________________________
City, State & Zip Code: ______________________
Phone Number: _____________________________
Email: _______________________________________
I, ____________________________________________, hereby agree to the following:
- I am participating in yoga classes, health programs, workshops and/or other wellness, body work, therapy, exercise and healing arts activities (collectively, the “Activities”) offered by Maria Al Tayar (the “Teacher”) at my own risk and I am aware of the inherent risks of the discipline of yoga. The Activities may be offered in a physical location outdoors (e.g. in a park, on the beach, on the territory adjacent to my residence or the Teacher’s residence) or indoors (at a gym, yoga studio, at my place of residence or the Teacher’s place of residence, including communal space), online live via video conferencing software or through any other digital media or platform. All of such offerings, either physical or online, shall be considered “Activities.”
- I recognize that I must be in adequate physical and mental health to participate in the Activities. I understand that the Activities may require intense physical exertion, and I represent and warrant that I am physically fit enough to participate, and I have no medical condition which would prevent my full participation in the Activities. I recognize that the Activities may cause or aggravate a physical injury or medical condition. I understand that it is my responsibility to consult with a physician before my participation in the Activities. If I have done so, I have taken the physician’s advice. I understand that the Teacher reserves the right to refuse my participation in any Activity on medical, fitness or any other grounds.
- I am aware that my participation in the Activities could result in high blood pressure, fainting, heartbeat disorders, physical injury, heart attack or stroke and may aggravate pre-existing injuries. I understand that I could experience muscle, back, neck and other injuries as a result of my participation in the Activities. I understand my physical limitations and I am sufficiently self-aware to stop or modify my participation in any Activity before I become injured or aggravate a pre-existing injury. In the event I feel I need to stop participating in the Activity, I will inform the Teacher immediately.
- I affirm that I am not under the influence of any drugs, prescription or otherwise or if I am taking prescription drugs, I affirm that I have seen a physician and received a proof of said physician’s approval to do yoga while using the prescription medicine. I will not use alcohol or any recreational drugs or be otherwise impaired in any way, while participating in Activities provided by the Teacher.
- In consideration of being permitted to participate in the Activities, 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 Activities.
- In further consideration of being permitted to participate in the Activities, I knowingly, voluntarily and expressly waive any “Claim” (as defined below) I may have against the Teacher and any of Teacher’s employees, independent contractors or assistants (each, a “Released Party”) that I may sustain as a result of participating in the Activities.
I agree to indemnify and hold harmless Released Party from any loss, cost, 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 negligence of Released Party or anyone else.
“Claim” includes but is 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 spouse, children or unborn child may suffer (including any legal fees or expenses) in connection with participation in any Activity.
- I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue any Released Party for any Claim caused by any negligence or other acts of any Released Party.
- I hereby understand that the Teacher from time to time may photograph, video, or otherwise record Activities and place such photographs and videos on its Website or social media platform. I hereby consent to the use of my image that may appear in any such photograph or video.
- This agreement shall be construed in accordance with, and governed by, the laws of the State of Florida. In case any provision of this agreement shall be held invalid, illegal or unenforceable, it shall not affect any other provision of this agreement and this agreement shall be construed as if such provision had never been contained herein.
I acknowledge that I have carefully read this agreement and fully understand its contents. I voluntarily and knowingly agree to the terms and conditions stated herein. I am aware that by signing this agreement, 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.
Signature of participant:_________________
Date: _____________________________________
If participant is under 18:
As legal guardian of _______________________________________, I consent to the above Release and Waiver of Liability
Signature of parent/guardian: ______________
Date: ________________________________________
