Napa Hot Yoga Waiver and Liability Release Form
Name:_________________________________________________________
Address:________________________________________________________
Phone:_______________________email_______________________________
Emergency Contact Name/Phone______________________________________
The classes offered by Napa Hot Yoga,including heated yoga,heated pilates, and all other classes,are strenuous and have potential risk of serious injuries including spinal injuries,paralysis and death. These risks of injuries cannot be eliminated. If I experience pain or discomfort, I will listen to my body, discontinue the activity,and ask for support from the instructor.I recognize the importance of following the instructor’s instruction regarding proper technique.
The classes offered at Napa Hot Yoga are not a substitute for medical attention,examination,diagnosis and treatment. These classes are not recommended and are not safe under certain medical conditions. By signing I affirm that a licensed physician has verified my good health and physical condition to participate in these classes.I will make the instructor aware of any medical conditions before class.If I am pregnant, become pregnant, or I am post natal or post surgical, my signature verifies that I have my physician’s approval to participate.I also affirm that I alone am responsible to decide whether to participate in the Napa Hot Yoga classes.Participation is at my own risk,and I accept all risks of participating, even if the risks are created by the carelessness, negligence, or gross negligence of the instructor.
I hereby for myself,my heirs,executors,and administration irrevocably release,waive,and forever discharge and all rights,claims,or claims for injuries I sustain, which I may have now or in the future against Napa Hot Yoga, owners, managers,employees, agents, and instructors., even if the claim is based on carelessness,negligence,or gross negligence of Napa Hot Yoga and/or instructor.If any provision of this agreement is unenforceable,unlawful,or void, the remaining provisions shall be fully enforceable.
I am aware that there is no obligation for any person to provide me with medical care during this activity.If medical care is rendered to me , I consent to that care even if I am unable to consent when the care is rendered.
I have read and fully understand, and agree to all of the above terms of this Liability Waiver Agreement. I am signing voluntarily and recognize that my signature serves as a complete and unconditional release of liability from any and all claims or causes of action, and I agree to voluntarily give up and wave any rights that may have to bring legal action against Napa Hot Yoga, it’s employees, owners, instructors for personal injury or property damage.
Signature:_______________________________________Date:__________.
