This an important legal document. Please read it carefully as it explains the risks you are assuming by beginning or continuing fitness activities or yoga. It is critical that you read and understand this agreement completely. After you have done so, please print your name legibly and sign in the spaces provided at the bottom.
If you are under age 18, this agreement must also be signed by the my parent or legal guardian. The legal guardian should also read this form carefully because it specifies obligations that s/he will assume, both personally and on behalf of the member.
Name of the member: ______________________________________
Waiver, Informed Consent and Covenant not to Sue
I have requested be permitted to participate in a program of fitness activities and yoga under the direction of Remix yoga and/ or held at Remix yoga studio which will include, but may not be limited to, aerobic, weight and/or resistance training and yoga. Inconsideration of Remix yoga’s agreement to instruct, assist and/or Remix yoga studio agreement to provide facilities, I do hereby forever release, discharge and hold harmless Remix yoga and their officers, directors, employees, instructors, contractors, trainers, owners and agents from any and all claims, demands, damages, rights of action or causes of action, present or future, arising out of or connected with Remix yoga’s use of the facility or his/her participation in this or any exercise program, including any illness or injuries resulting therefrom.
THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF (1) EQUIPMENT, MATERIAL, SAFETY DEVICE OR OTHER ITEM THAT MAY MALFUNCTION OR BREAK; (2) ANY SLIP AND FALL OR DROPPING OF EQUIPMENT;(3) ANY INJURY CAUSED BY ANY OTHER MEMBER OR INSTRUCTOR; AND (4) ANY INJURY THAT MAY OCCUR AS A RESULT OF EXERCISING INCLUDES, WITHOUT LIMITATION, ANY ILLNESS, SUCH AS COVID-19, THE FLU OR ANY OTHER ILLNESS OF ANY KIND.
Assumption of Risk
I recognize that yoga/exercise might be difficult and strenuous and that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure, fainting, disorders in heartbeat, heart attack and, in rare instances, death. I also understand that participation in exercise and training activities creates the risk of transmission of a virus or other disease, such as COVID-19, and that as a result of participation in any fitness activities and yoga, I could suffer an injury or physical disorder or obtain an illness that could result in becoming partially or totally disabled and incapable of performing any gainful employment or academic or physical activities or having a normal social life. I recognize that a consultation with, and examination by a physician should be obtained by me prior to involvement in any yoga or fitness activities program. If you has chosen not to obtain a physician’s permission prior to participating in any Remix yoga's exercise program and/or using the Remix yoga studio, I hereby agree that I am doing so at their my own risk. I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participates. I acknowledge and agree that no warranties or representation have been made to me regarding the results. I will achieve from this program or regarding the safety of participating in any program. Specifically, I have not been given any advice regarding the likelihood of contracting COVID-19 or any other disease. I also agree that if I have any physical or other limitations (such as a physical or mental disability, medical condition or illness) that may limit or impact my safety, or the safety of others, I will immediately notify Remix yoga in writing, of the specific limitations. I further agree that I will not participate in any Remix yoga fitness activities program, yoga, or enter Remix yoga studio, if s/he has an known illness or disease such as COVID-19 which could be contagious to others, or if s/he has any symptoms consistent with any such illness or disease.
Agreement to Follow and Abide by All Safety and Sanitation Rules and Agreement to Defend and Indemnify
I have been provided a copy of Remix yoga Safety and Sanitation Rules (“Rules”) and represent and warrant that I have read and understand them. I also agree that I will read all updated Rules provided, as well as any instructions or rules posted at the Remix yoga studio and/or distributed via email. I agree to faithfully and consistently adhere, to and abide by, both the letter and spirit of the Rules at all times. I also agree to promptly inform Remix yoga management if I learn of any individual failing to follow the Rules or any safety or sanitation instructions at any time. I hereby agree to defend, indemnify and hold harmless Remix yoga and their officers, directors, employees, contractors, instructors, owners and agents from any claim arising out of, or related to, any alleged failure by me to follow the Rules or any claim arising out of, or related to, I allegedly negligent, reckless or intentional conduct.
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS AGREEMENT AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT I AM WAIVING ANY RIGHT, AND ANY RIGHT OF MY SUCCESSORS, TO BRING ANY LEGAL ACTION OR ASSERT ANY CLAIM AGAINST REMIX YOGA OR ANY AFFILIATED PERSON OR ENTITY FOR ANY CLAIMED NEGLIGENCE.
PHOTO RELEASE FORM
I grant permission to REMIX YOGA. and it’s agents or employees, to use photographs of me, for use in studio publications including brochures, newspapers, social media and the REMIX YOGA Website.
I grant REMIX YOGA the unrestricted right to use and publish photograph or video footage taken of me while participating in Remix Yoga classes, I waive any right to royalties or other compensation arising from the use of my photograph , release and hold harmless REMIX YOGA and it’s agents or employees from any claims arising from the related use of the photographs. I acknowledge that by signing this form I give REMIX YOGA. full copyright and authority to publish photography and I agree to the terms listed above.
Printed Name of Member: ________________________________
Member Signature: ____________________________________Date: ______________________________
Printed Name of Parent or Legal Guardian: ________________________________
Parent or Legal Guardian Signature: ____________________________________Date: ___________________________