I, ____________________________________________, hereby agree to the following:
1. I am participating in yoga classes, health programs, workshops and other wellness,
exercise and healing arts activities (collectively, the “Activities”) offered by ___Joanne
Varni__________________________ (the “Yoga Teacher”).
2. I recognize that I must be in good physical and mental health to participate in the
Activities. I understand that the Activities require physical exertion, and I represent and
warrant that I am physically fit and I have no medical condition which would prevent my full
participation in the Activities. I understand that it is my responsibility to consult with a
physician prior to and regarding my participation in the Activities. If I have consulted a
physician, I have taken the physician’s advice. I understand that the Yoga Teacher reserves
the right in its absolute discretion to refuse my participation in an Activity on medical, fitness
or other grounds.
3. I am in proper physical condition to participate in the Activities, and I am aware that
participation could, in some circumstances, result in abnormal blood pressure, fainting,
heartbeat disorders, physical injury and potentially heart attack. I also understand that I
could experience muscle, back and other injuries during exercise. I understand my physical
limitations and am sufficiently self-aware to stop physical activity before I become ill or
injured. I understand that it is my continuing responsibility to inform the Yoga Teacher of any
previous medical conditions, injuries or surgeries prior to my first class and any future
changes to my medical condition.
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.
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 Yoga
Teacher for any Claim that I may sustain as a result of participating in the Activities even if
the Claim arises from the negligence of Yoga Teacher or anyone else. I agree to indemnify
and hold harmless Yoga Teacher from any loss 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 Yoga Teacher or anyone else.“Claim” includes but is not limited to any and all liabilities, claims, demands, expenses, 39
fees, legal actions, rights of actions for damages, personal injury, mental suffering and
distress, or death that I may suffer, my children may suffer or that my 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 Yoga Teacher for any Claim caused by any negligence or other acts of Yoga Teacher.
7. I hereby understand that the Yoga Teacher from time to time may photograph or video
classes or events occurring at the teaching studio and place such photographs and videos
on its Website. I hereby consent to the use of my image that may appear in any such
photograph or video.
8. This agreement shall be construed in accordance with, and governed by, the laws of the
State of California
I acknowledge that I have carefully read this release and waiver of liability and fully
understand its contents. I voluntarily and knowingly agree to the terms and conditions
stated herein. I am aware that by signing this release and waiver of liability, I am giving up
substantial rights, including my right to sue for Claims and certain legal rights my heirs, next
of kin, executors, administrators and assigns may have against Yoga Teacher.
