Yoga In Our City | Workshop Registration

Workshop Registration

We’re excited to have you join us! Please take a moment to complete the waiver in this form and the Pre-Class survey before the workshop.

If you require special accommodations to participate please call 860-695-6320 two weeks prior to the event.

First Name

Last Name

Pronouns

City

Waiver Submission

By checking this box, you agree to the following: I hereby agree to the following: Yoga and other offered activities (including movement practices, retreats, workshops, meditation) are not a substitute for medical attention, examination, diagnosis or treatment. I acknowledge and agree to the following:

1. Practice and participation at or with YOGA IN OUR CITY may involve risks, and by participating I accept all risks, including those created by apparent carelessness, negligence or gross negligence of YOGA IN OUR CITY, myself and anyone else. I recognize that activities involve physical exertion which may be strenuous and may cause physical injury and I am fully aware of the hazards involved.

2. I understand it is my responsibility to consult with a physician prior to and regarding my participation in any physical activity. I represent and warrant that I am physically fit and have no medical condition which would prevent my full participation in the activities at or with YOGA IN OUR CITY. A licensed physician has verified my good health and physical condition to participate in activities offered by YOGA IN OUR CITY.

3. I am responsible for the maintenance of safety of myself and my child/children participating and will respect my own personal limits to stop physical activity before becoming ill or injured. YOGA IN OUR CITY representatives may offer hands-on assists and adjustments. It is my responsibility to adequately inform and remind YOGA IN OUR CITY representatives if I wish not to experience hands-on assistance.

4. I hereby release YOGA IN OUR CITY from any and all liabilities, claims, demands, legal actions, or rights of actions for damages, personal injury or death in connection with participation in activities with or by YOGA IN OUR CITY. This extends to any and all of the YOGA IN OUR CITY teachers, affiliates, independent contractors, retreat venues, event venues, and their respective representatives, directors, officers, sponsors, agents, employees/staff, volunteers, contractors or representatives.

5. I knowingly, voluntarily and expressly waive all claims I may have against YOGA IN OUR CITY, its owners, sponsors, staff, volunteers and contractors for any injury or damages that I may sustain as a result of participating in programs or activities offered by YOGA IN OUR CITY.

6. I, my heirs and/or legal representatives, forever release, waive discharge and covenant negligence and/or other acts that may arise against YOGA IN OUR CITY, its owners, directors, officers, sponsors, agents, employees/staff, volunteers, contractors or representatives.

7. I grant my permission to YOGA IN OUR CITY and any transferee or licensee of them to utilize any photographs, motion pictures, video, recordings and other references or records of activities with and at YOGA IN OUR CITY that may depict, record or refer to me for any purpose (“likeness”), including commercial use by the released parties, their sponsors and their licensees.

I have fully read and understood the above release and waiver of liability. I fully understand its contents and that by signing it I am obligated to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. 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 YOGA IN OUR CITY or its owners. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the state of Connecticut. Signing also provides consent for YOGA IN OUR CITY to email me with reminders and offers.