Release and Waiver of Liability

Release and Waiver
All Elements, LLC dba YOGA + Studio
Sierra Vista, AZ 85635 
720-443-4663
connect@allelementsllc.com


I hereby agree to the following:

1. 	I am participating in yoga classes, health programs, workshops, Zumba or dance fitness, and/or other wellness, bodywork, therapy, exercise, and healing activities (collectively, the “Activities”) offered by All Elements, LLC dba YOGA + Studio (“The Studio”). The Studio may offer programs at the physical location of The Studio or at outdoor locations/settings or online. All such offerings, either on location, in outdoor settings/locations, or online, shall be considered “Activities.”

2. 	I understand that the Activities may require intense physical exertion, and I represent and warrant that I am physically fit enough to participate, and I have no medical condition which would prevent my participation in the Activities I choose to take part in at The Studio. I recognize that the Activities may cause or aggravate a physical injury or medical condition. I understand that it is my responsibility to consult with a physician before my participation in the Activities. If I have done so, I have taken the physician’s advice. I understand that The Studio reserves the right to refuse my participation in any Activity on medical, fitness or any other grounds.
      
3. 	I am aware that my participation in the Activities could result in high blood pressure, fainting, heartbeat disorders, physical injury, heart attack or stroke, and/or may aggravate pre-existing injuries. I understand that I could experience muscle, back, neck, and other injuries as a result of my participation in the Activities. I understand my own physical limitations and I am sufficiently self-aware to stop or modify my participation in any Activity before I become injured or aggravate a pre-existing injury.

4. 	In consideration of being permitted to participate in the Activities, I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in the Activities at The Studio, including those which may result from the negligence of The Studio.       

5. 	In further consideration of being permitted to participate in the Activities, I knowingly, voluntarily, and expressly waive any “Claim” (as defined below) I may have against The Studio, its owners, managers, teachers/instructors (Guests or otherwise), workshop presenters, employees, independent contractors and staff (each, a “Released Party”) that I may sustain as a result of participating in the Activities at The Studio, even if the Claim arises from the negligence of any Released Party or anyone else. I agree to indemnify and hold harmless each Released Party from any loss, cost, or liability incurred in 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 negligence of any Released Party or anyone else.

“Claim” includes but is not limited to any and all liabilities, claims, demands, expenses, fees, legal actions, rights of actions for damages, personal injury, mental suffering, and distress, or death that I may suffer, my spouse, children or unborn child may suffer (including any legal fees or expenses) in connection with participation in any Activity.

6.	I, my heirs, or legal representatives forever release, waive, discharge and covenant not to sue any Released Party for any Claim caused by any negligence or other acts of a Released Party.

7.	I hereby understand that The Studio from time to time may photograph, video, or otherwise record classes or events occurring at The Studio and place such photographs and videos on its Website or social media platform. I hereby consent to the use of my image that may appear in any such photograph or video. 

          7a. If I DO NOT consent to the use of my image that may appear in any such photographs or videos, I must expressly declare my non-consent in the comment space provided at the end of this form.

8.	 This agreement shall be interpreted in accordance with, and governed by, the laws of the State of Arizona, and all actions, suits, claims, and proceedings relating to this agreement shall be brought in a court of competent jurisdiction located in Sierra Vista, AZ or within a reasonable radius. In case any provision of this agreement shall be held invalid, illegal, or unenforceable, it shall not affect any other provision of this agreement and this agreement shall be construed as if such provision had never been contained herein.

I acknowledge that I have carefully read this agreement and fully understand its contents. I voluntarily and knowingly agree to the terms and conditions stated herein. I am aware that, by signing this agreement, I am forgoing rights, including my right to sue and certain legal rights my heirs, next of kin, executors, administrators, and assigns may have against any Released Party.

‘Signing’ this form can be done either by hand in person, or electronically by inputting my First Name, Last Name, state-issued ID, driver’s license #, and birth date at the end of the electronic form. I understand that any representative and/or Released Party of The Studio will have a record of information from my state-issued ID or driver’s license including my name, ID number, state of issuance, and birthday, as this information is part of my electronic signing.  I understand that either method of signing is legally binding.
I give The Studio permission to make a copy and/or capture an image of my state-issued ID or driver’s license.
Yes
Participant’s Name
Participant's Name
First
Last
Participant’s Date of Birth (mmddyyyy)
State-issued ID # (start with 2-letter state)
Participant’s email
In case of emergency, please contact:
First
Last
Phone # of emergency contact:
Additional Comments
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