Agreement of Release and Waiver of Liability
Jessie Mancuso
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Do you have any limitations or injuries you would like to share? If yes, please share as much as you like. I can use that to further customize the class.
I understand and acknowledge that yoga is a physical activity and as such carries a risk of physical injury: a. I am in proper physical condition to participate in the activity, and am aware that participation could, in some circumstances, result in physical injury, serious physical injury or death.             b. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured. *
Required
In consideration of participating in the “Activity”, I agree and acknowledge that I am fully aware that participation in the Activity involve risks and I accept all the risks of participating, even if the risks are created by the carelessness, negligence, or gross negligence of a Released Party (as defined below) or anyone else. *
Required
 “Claims” includes but is not limited to any and all liabilities, claims, demands, legal actions, rights of actions for damages, personal injury or death in connection with participation in the Activity. “Released Party” means Jessica Marquart / Uniquely You Yoga, The WIT Network or any of its affiliates, franchisees and their respective representatives, directors, officers, agents, employees or volunteer staff.5. I hereby, for myself and for my heirs, next of kin, executors, administrators and assigns, fully release, waive and forever discharge any and all rights or Claims I may have, now or in the future, against any Released Party, even if the Claims are based on the carelessness, negligence or gross negligence of a Released Party or anyone else. *
Required
 I agree not to sue any Released Party for Claims, even if the Claims arise from the carelessness, negligence or gross negligence of any Released Party or anyone else. I agree to indemnify (reimburse for any loss) and hold harmless each Released Party from any loss or liability (including any reasonable legal fees they may incur) defending any Claim made by me or anyone making a Claim on my behalf, even if the Claim is alleged to or did result from the carelessness or negligence of any Released Party or anyone else. *
Required
 I am aware that there is no obligation for any person to provide me with medical care during the activity. I understand and acknowledge that: a. there may be no aid stations available for the Activity. b. if medical care is rendered to me, I consent to that care if I am unable to give my consent for any reason at the time the care is rendered. *
Required
I am aware that it is advisable to consult a physician prior to participating in the Activity. If I have consulted a physician, I have taken the physician’s advice. *
Required
I grant my permission to the Released Party and any transferee or licensee or any of them, to utilize any photographs, motion pictures, videotapes, recordings and other references or records of the Activity which may depict, record or refer to me for any purpose (“Likeness”), including commercial use by the released parties, their sponsors and their licensees. This permission is for use anywhere in the world and on the Internet and for an unlimited period. I understand and agree that I will not be compensated or receive additional consideration for consenting to the use of my Likeness and that I will not be given a chance to receive, inspect or approve the promotional or marketing material, messages and/or content that may use my Likeness. *
Required
I understand and intend that this document act as the broadest and most inclusive assumption of risk, waiver, release of liability, agreement not to sue and indemnity. *
Required
If any provision of this agreement shall be unlawful, void or for any reason unenforceable, then that provision shall be deemed severable from this agreement and shall not affect the validity and enforceability of any remaining provisions. *
Required
I have fully read and understand this agreement. I am aware that by signing this agreement, I am waiving certain legal rights I or my heirs, next of kin, executors, administrators and assigns may have against the Released Party.                                                                       BY MY ELECTRONIC SIGNATURE BELOW, I accept and agree to the terms and provisions contained in this agreement. *
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