Release and Waiver of Liability
Event Timing: July 2nd-9th, 2022
Event Address: Lakulish Yoga and Health Retreat
8136 NC Highway 119 South
Mebane, NC 27302
Contact us at 1-336-421-0690 or lifemissionusa@gmail.com
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Lakulish Yoga and Health Retreat
Release and Waiver of Liability
This section must be carefully read and signed by the applicant or guardian in order to participate in the 2021 Lakulish Health
Center Summer Youth Program (hereinafter referred to as ‘restricted area’) for any purpose:

1. THAT I AM PARTICIPATING IN THE YOUTH PROGRAM, YOGA & AYURVEDA CLASSES, HEALTH PROGRAMS, OR WORKSHOPS OFFERED BY THE STAFF AND VOLUNTEERS FROM L.I.F.E. FOUNDATION, LAKULISH INSTITUTE OF YOGA AND L.I.F.E. MISSION DURING WHICH I WILL RECEIVE INFORMATION AND INSTRUCTIONS ABOUT YOGA AND HEALTH. I RECOGNIZE THAT YOGA REQUIRES PHYSICAL EXERTION, WHICH MAY BE STRENOUS AND MAY CAUSE PHYSICAL INJURY, AND I AM FULLY AWARE OF THE RISKS AND HAZARDS INVOLVED.

2. I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO CONSULT WITH A PHYSICIAN PRIOR TO AND REGARDING MY PARTICIPATION IN THE YOUTH PROGRAM, YOGA CLASSES, HEALTH PROGRAMS OR WORKSHOPS. I REPRESENT AND WARRANT THAT I AM PHYSICALLY FIT AND I HAVE NO MEDICAL CONDITIONS WHICH WOULD PREVENT MY FULL PARTICIPATION IN THE YOURTH PROGRAM, YOGA CLASSES, HEALTH PROGRAMS OR WORKSHOPS.

3. IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE YOUTH PROGRAM, YOGA CLASSES, HEALTH PROGRAMS, OR WORKSHOPS, I, FOR MYSELF, MY HEIRS, EXECUTORS, SUCCESSORS AND ASSIGNS, HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE SWAMI SATYANAND AND THE STAFF, EMPLOYEES, VOLUNTEERS, AND AGENTS OF LAKULISH INTERNATIONAL ENDOWMENT FOUNDATION a/k/a L.I.F.E. FOUNDATION, L.I.F.E. MISSION and LAKULISH INSTITUTE OF YOGA (HEREINAFTER REFERRED TO AS ‘RELEASEES’), FROM ALL LIABILITY TO THE UNDERSIGNED ON ACCOUNT OF INJURY TO THE PERSON WHETHER CAUSED BY THE NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASEES, OR OTHERWISE WHILE THE UNDERSIGNED IS IN OR UPON THE RESTRICTED AREA, AND/OR OBSERVING, OR FOR ANY PURPOSE WHILE I AM PARTICIPATING IN THE YOGA CLASSES, HEALTH PROGRAMS, OR WORKSHOP EVENT(S).

4. IN FURTHER CONSIDERATION BEING PERMITTED TO PARTICIPATE IN THE YOUTH PROGRAM, YOGA CLASSES, HEALTH PROGRAMS, OR WORKSHOPS, I, FOR MYSELF, MY HEIRS, EXECUTORS, SUCCESSORS AND ASSIGNS HEREBY AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE 'RELEASEES' AND I HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY DUE TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF 'RELEASEES' OR OTHERWISE WHILE IN OR UPON THE RESTRICTED AREA AND/OR WHILE PARTICIPATING IN THE EVENT(S).

5. I, FOR MYSELF, MY HEIRS, EXECUTORS, SUCCESSORS AND ASSIGNS EXPRESSLY ACKNOWLEDGE AND AGREE THAT THE ACTIVITIES OF THE EVENT(S) INVOLVE THE RISK OF PHYSICAL INJURY.

6. I, FOR MYSELF, MY HEIRS, EXECUTORS, SUCCESSORS AND ASSIGNS FURTHER EXPRESSLY AGREE THAT THE FOREGOING RELEASE, WAIVER, AND INDEMNITY AGREEMENT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS PERMITTED BY LAW OF THE STATE IN WHICH THE EVENT(S) IS/ARE CONDUCTED AND THAT IF ANY PORTION THEREOF IS HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL, NOTWITHSTANDING, CONTINUE IN FULL LEGAL FORCE AND EFFECT. ALL RIGHTS AND OBLIGATIONS OF THIS LICENSE, IF GRANTED, ARE SPECIFIC TO THE INDIVIDUAL APPLICANT EXECUTING THIS MEMBERSHIP AND LICENSE APPLICATION.

7. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT AND FURTHER AGREES THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.

8. THE UNDERSIGNED HAS CAREFULLY READ AND UNDERSTANDS THIS RELEASE OF LIABILITY AND AGREES TO ITS TERMS AND CONDITIONS.
If participant is under 18 As a legal guardian of *
Consent to the above conditions. *
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Signature of Parent / Guardian of Participant *
Date *
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