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InformationSheet/Release and Waiver In consideration of the grant of permission of Go With the Flow Yoga Studio for me to participate as a student private and/or group classes, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby acknowledge, agree and represent as follows: 1. I am in good health and have no disability, impairment, medical condition, illness or health related issue which may prevent me from engaging in exercise or classes or which poses a health risk to other users of Go With the Flow Yoga Studio. I assume full responsibility for my medical condition as it relates to engaging in exercise and classes at Go With the Flow Yoga Studio. I have consulted with a physician and have not been instructed by such physician to refrain from using the equipment at Go With the Flow Yoga Studio or not to participate in any activities of the type available at Go With the Flow Yoga Studio. Any medical concerns or injuries I may have, I have previously discussed with my instructor prior to the start of class(es). 2. I agree to follow all instruction given me by the instructor(s) as to when, where and how to perform and not to perform Yoga and Pilates exercises. I understand that any deviation by me from such instructions will be at my own risk. 3. I understand that my presence at Go With the Flow Yoga Studio and my use of Go With the Flow Yoga Studio involves risk. I hereby knowingly and freely assume all risk and responsibility for any and all damage to property or bodily and/or personal injury, including illness and/or death, in connection with my use of Go With the Flow Yoga Studio. 4. I hereby release, discharge and covenant not to sue (and relinquish my rights to sue) Go With the Flow Yoga Studio, agents (including managing agent) employees, attorneys, and their respective successors and/or assigns from and with respect to any and all liability, claims, demands, actions, suits, rights and/or causes of action of whatever kind or nature, now or hereafter existing, whether known or unknown, present or future, foreseen or unforeseen, whether caused by the negligence of Go With the Flow Yoga Studio or otherwise, that may arise from my use of Go With the Flow Yoga Studio, including, without limitation, any damage to property or bodily and/or personal injury in connection therewith. I hereby waive any protections afforded by any statute or law in any jurisdiction whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which person giving the release does not know or suspect to exist at the time of executing the release. This means, in part, that I am hereby releasing any and all unknown future claims. 72205 Painters Path, Palm Desert, CA 92260 5. Go With the Flow Yoga Studio may repair, at my expense, all damage to Go With the Flow Yoga Studio caused by me, and I agree to pay Go With the Flow Yoga Studio on demand any amounts so expended. 6. This Go With the Flow Yoga Studio Release and Waiver covers any and all liability, claims and actions caused entirely, or in part, by any and all acts or failures to act on my part, including but not limited to, negligence or mistake. 7. Go With the Flow Yoga reserves the right to make changes in its sole discretion to the schedule of classes, instructors, and/or class location. Go With the Flow Yoga Studio’s duties and obligations under any contract shall be suspended immediately without notice during all periods that Go With the Flow Yoga Studio is closed because of “Force Majeure” events including, but not limited to, any fire, act of God, hurricane, war, governmental action, act of terrorism, epidemic, pandemic, or any other event beyond Go With the Flow Yoga Studio’s control. If such an event occurs, Go With the Flow Yoga Studio’s duties and obligations in any contract will be postponed until such time as Go With the Flow Yoga Studio, in its sole and reasonable discretion, may safely reopen. In the event that Go With the Flow Yoga Studio cannot reopen due to an event under this clause, Go With the Flow Yoga Studio is under no obligation to refund any portion of fees paid. 8. I have read and fully understand the terms of this Release and Waiver, and that I may have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. I agree to abide by and be bound by the terms and conditions of this Release and Waiver. I have had an opportunity to consult counsel regarding this Release and Waiver. I agree to take full responsibility for myself in the practice of Yoga and Pilates. By signing below I understand that Go With the Flow Yoga Studio is not responsible for any injuries I may suffer in the practice of Yoga or Pilates. I herby waive any claim I may have at any time for injury or loss of any sort against Go With the Flow Yoga Studio, Kathleen Spillman Puckett, or any instructor at Go With the Flow Yoga Studio involved herewith. Dated: Signature: For Participants of Minority Age (under 18) If the undersigned is under eighteen (18) years of age (a “Minor”) then Go With the Flow Yoga Studio must first consent in writing to the Minor’s use of Go With the Flow Yoga Studio. Provided Go With the Flow Yoga Studio consents in writing to the Minor’s use of Go With the Flow Yoga Studio, a parent of such Minor must accompany and supervise the Minor at all times during such Minor’s use of Go With the Flow Yoga Studio, and the parents of the Minor must execute this Release and Waiver below, agreeing to be bound by, for and on behalf of the Minor, all terms and conditions contained herein. This is to certify that I, as parent with legal responsibility for this Minor, do consent and agree to such Minor’s execution of Go With the Flow Yoga Studio Release and Waiver, and I, for myself and on behalf of such Minor, agree to be bound by all terms and conditions contained herein. Dated: Signature: Printed Name of Parent: Printed Name of Minor: Minor’s Date of Birth: 72205 Painters Path, Palm Desert, CA 92260
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