Roots to Wellness Waiver form
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Do you have any physical limitations that could be aggravated by exercise? *

I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered with Roots to Wellness.  I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops.  I understand the risks associated with the activities offered by Roots to Wellness and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities.  

 

I hereby WAIVE AND RELEASE Roots to Wellness LLC, its owners, officers, employees, and instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered as well as right to photograph and use pictures or video for promotional purposes. In taking part in the yoga classes, workshops, or other activities during Roots to Wellness, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities.  There are no refunds for payments.

 

I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above. 

 

Please practice mindfully and enjoy the many benefits of practicing yoga with Key to Wellness.  

 

 By signing this waiver, I agree to the above terms and conditions.

(Type first and last name as signature)


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