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Thank you for registering for Find Your Practice with Literacy Rochester. Please fill out the form below, read and sign the waiver, and submit before arriving for practice.
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Please read the following YOGA INSTRUCTOR LIABILITY/STUDENT WAIVER AGREEMENT and sign below. I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction, and relief of muscular tension.  Participation in yoga class at Alliance Advisory Group includes, but is not limited to, mind/body connection, breathing techniques, and physical yoga postures.  Yoga poses (asana) are designed to exercise every part of the body, stretching and strengthening muscles, joints, the spine, and the entire skeletal system.  The postures also work on the internal organs, glands, and nerves. Yoga is an individual experience.  As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated.  My signature on the accompanying form acknowledges that I understand these risks.  During the yoga class, if I experience any pain or discomfort, I will listen to my body and will adjust as needed.  I will ask for support from the instructor to obtain modifications, but I also understand that I am responsible for ensuring that I remain safe.  If at any point I feel overexertion or fatigue, I will rest for as long as needed and/or discontinue class and seek medical assistance. Participation in yoga class is not a substitute for medical attention or treatment.  Yoga is not recommended for certain medical conditions.  I acknowledge that I am responsible to decide whether to practice yoga.  My (typed) signature affirms that I have sought medical advice if appropriate and that I am both physically and mentally able to participate in yoga class.  By signing my name to the accompanying signature form, I acknowledge that participation in the physical activity of yoga class exposes me to a possible risk of injury as outlined above.  I am fully aware of this risk and hereby release both the yoga instructor and Alliance Advisory Group from any and all liability, negligence, or other claims arising from or in any way connected with my participation in yoga class.  My signature further acknowledges that I shall not now or at any time in the future bring any legal action against the yoga instructor and Alliance Advisory Group, and furthermore, that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors, and my assigns.  I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against the yoga instructor and Alliance Advisory Group. My (typed) signature verifies that I am participating in yoga class at my own risk. *
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