STILLNESS AND STRENGTH YOGA, LLC
Agreement of Release and Waiver of Liability: Stillness and Strength Yoga, LLC
In-Person Community Wellness Classes and Remote Community Class Offerings
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Name of Person Taking Class:
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First
Last
Person Taking Class: Email
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Person Taking Class: Phone
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Name of Emergency Contact for Person Taking Class:
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Phone# of Emergency Contact for Person Taking Class:
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Please read the following and ask if you have any questions.
I (participant and/or guardian) understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular as well as emotional tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages, which may incur through participation.
Yoga is not a substitute for medical or mental health attention, examination, diagnosis, or treatment.
Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a program. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate and have been cleared for this type of movement. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that have now or may have hereafter against Stillness and Strength Yoga, LLC/Kristen Ryder, its owners, officers, employees, substitute teachers, and instructors.
I (participant and/or guardian) have read and fully understand and agree to the above terms of this Agreement and Release of Waiver of Liability. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Michigan.
Name/Signature of Acknowledgement
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Name of participant guardian (if minor or under guardianship):
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Date of Signature(s)
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Home
All SSY Services
TCTSY Services: What's TCTSY?
>
TCTSY Interest Form
TCTSY Consent/Waiver Form
Yoga 4 Survivors Services
>
Yoga 4 Survivors Clients
Guided Forest Therapy Sessions
SSY Policies & Scope of Practice
Schedules, Pricing, Payment
Community Class Registration
Bookworms Unite! Resource Page
Meet Kristen
Contact
SSY Community Class Waiver