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Liability Waiver
First Name
Last Name
Email
Date of Birth
Please specify physical limitations or chronic issues you would like us to be aware of.
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program.
I have read and accept the following: It is my responsibility to inform the instructor of any physical limitations before the class begins. I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered by Yoga Anywhere and Cicha, LLC and I agree to follow all instructions so that I may safely participate in classes, workshops, and other activities offered by Yoga Anywhere and Cicha, LLC. If you I am pregnant or may be pregnant, it is my responsibility to consult a physician regarding my yoga practice before participating in classes. I hereby waive and release Yoga Anywhere and Cicha, LLC, its Owners, Partners, Officers, Employees, Teachers, and Independent Contractors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered. I, my heirs, or legal representatives forever release and hold harmless Yoga Anywhere and Cicha, LLC from any injury, illness, accidents that are sustained now or in the future that result from my participation all activities offered by Yoga Anywhere and Cicha, LLC. In taking part in yoga classes, workshops, or other activities at Yoga Anywhere and Cicha, LLC I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes workshops and other activities.
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