Student’s Name:
Address: City:
State/Province: Postal/Zip Code:
Email: Phone Number:
Emergency Phone Number:
Please read and initial each statement:
- _____ I take full responsibility for my own health & safety. I hereby assume all the risks of participating in any/all activities associated with this event, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
- _____ My health professional approves of fitness practice. I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity including but not limited to glaucoma, carpal tunnel syndrome, artificial limbs, prone to fainting, cerebral sclerosis, recent head injury, easy onset of vertigo, pregnancy, high/low blood pressure, migraines, heart problems, neck/shoulder injuries, severe arthritis, recent injuries or surgeries including Botox, osteoporosis, bone weakness, sinusitis, recent stroke, and head colds.
- _____ I waive full liability. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity including but not limited to any outdoor events or workshops located in other areas inside or outside of YogaFit101 grounds.
- _____ Physical touch/adjustments. I understand that my teacher will use his/her hands as a teaching tool throughout class to help me safely enter, exit, and modify poses.
- _____ Yoga is not a panacea. I understand that neither yoga nor my instructor is here to diagnose or cure any disease, injury, or illness.
I have read, understood, and agree with all the terms and conditions of this waiver. Student Signature: _________________________________ Date: _____________________
Student’s Name:
Please read and initial below:
- _____ Prepare for class: Students must arrive 5 minutes prior to the start of their scheduled class time. Students must be dressed in athletic clothing to participate. Jewelry and or loose clothing is not permitted for safety reasons. Please turn off your phone. Please schedule 60 minutes of uninterrupted time for your practice. Students are welcome to have water with them while in practice. No other food or drinks are allowed.
- _____ Start/End Time: Class will start at the designated time provided. If class starts late due to a student delay, or if class is interrupted by a student, the instructor/teacher will still need to end at the scheduled time.
- _____ 24 Hour Cancellation: If less than 24 hours, then class will not be refundable. All students will be notified if a class is canceled due to the number of attendees or unsafe weather conditions. Reservations can be rescheduled without penalty provided a minimum of 24 hours’ advanced notice is given. Names are not transferable.
- _____ 5 Minute Grace Period: Instructors/Teachers and students are granted a 5-minute grace period from the start of scheduled class time due to unforeseen traffic or weather conditions that affect their travel. For Safety reasons if students arrive more than 5 minutes late, they will not be able to attend class.
- _____ Weight Limit for Fitness Props: Students understand that their body weight must be under 250 pounds to take part in some of YogaFit101 classes offered. Such as but not limited to Yoga Inversion Trainer, Aerial Yoga, Yoga Wheel, Heels, Chair, and Pole Fitness classes or workshops. Students agree this is for their Safety and Instructors/Teachers Safety if hands-on assistance is needed or due to manufacture weight tested limits.
- _____ Props & Equipment: YogaFit101 will not hold responsibility for any dangerous or effective equipment.
- _____ Liability Waiver: Students take full responsibility for their own health and any illness or injury that may occur. Students cannot and will not hold instructors or any affiliates responsible in case of accident or illness during practice.
I have read, understood, and agree with all the terms and conditions of this waiver. Student Signature: ________________________________ Date: _________________
Please read and initial below:
- _____ Photo Consent: Student agrees to let YogaFit101 take pictures or videos of the class during practice for social media pages. Students are not permitted to take pictures or videos while the class is in session. Students respect and understand the importance of each other’s privacy.
- _____ Spectators Policy: Spectators are prohibited. Spectators are prohibited to accommodate students that are signed up for class. Students understand this is a liability and safety issue. The only exception is If the spectator is a parent or guardian that is participating in the Me & My Shadow class with said student will then be permitted.
- _____ Virtual Live Classes Guidelines: Students may inquire about joining a class live virtually if it is offered. Permission may be granted if the instructor/teacher is able to accommodate the request. The students must have their camera on and audio off. If the student has any comments, questions, or concerns in real-time during the practice, the student has access to a chat section in which the teacher can respond. Live classes may only be video recorded by the instructor/teacher. Student do not have permission to record any YogaFit101 class. YogaFit101 is not responsible for virtual interruptions during live class.
- _____ Adolescent Guidelines: Adolescents may attend YogaFit101 classes when taking Kids & Pre Teens class only if offered. Adolescents need to be between the ages of 10-18. Parents and or Guardians are not permitted to be a spectator in class unless agreed upon between the instructor/teacher. If Parent or Guardian is permitted, then limit to only 1 Parent or Guardian per student per class. No other spectators or family members are allowed. If Parent or Guardian is permitted, they will not interfere with class such as but not limited to talking, taking pictures, videos, or anything that may cause distractions as this can cause a safety concern for students attending. Parents or Guardians will have their phones off or on silent and are not permitted to take videos or pictures. Parents or Guardians will agree to allow YogaFit101 to take videos or pictures of the class during practice for social media pages.
I have read, understood, and agree with all the terms and conditions of this waiver. Student Signature: ________________________________ Date: _________________
Top of Form
Bottom of Form
Student’s Name:
Please read and initial below:
- _____Music Content: YogaFit101 is not responsible for any offensive music. Students acknowledge they will not use original music from any classes provided by YogaFit101 on any social media platforms.
- _____ I agree that I will not hold Yogafit101, or any faculty member or employee, liable for injuries sustained or illnesses contracted by me/my child while a student of Yogafit101.
- _____I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Yogafit101 or participation in Yogafit101 programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Yogafit101, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I also understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Yogafit101, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Yogafit101 program.
Safety Test: I am aware that I will need to meet all the requirements for all classes available by YogaFit101 to attend Yoga Inversion Trainer, Aerial Yoga, Yoga Wheel, Heels, Chair, and Pole Fitness. I know I will need to be able to firmly grasp with both hands to attend all classes provided. I am aware that my shoulder span will need to be greater than 10 inches that is required for Yoga Inversion Trainer classes.
Students under the age of 18 years old must have their parent or guardian sign on their behalf before attending the practice.
I have read, understood, and agree with all the terms and conditions of this waiver. Student Signature: ________________________________ Date: _________________
