releaseformbikramorlando .pdf

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Original filename: releaseformbikramorlando.pdf
Title: New Release Form.cwk (WP)
Author: Melissa McMurray

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AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
First name (the name you want to use when you check in for class-ex. Dave or David; Kim or Kimberly):

Last name (only one, please no hyphenated names):

Email (distinguish between numbers and letters):

Address:
Street______________________________________________________________

City___________________________________ State_______Zip______________
In consideration of and as inducement to my enrolling as a student in the Yoga classes conducted
byBikram Yoga Orlando, hereinafter called BYO, I represent and agree to the following:
1. I recognize that Yoga classes are done in a hot room and require physical exertion which may be strenuous and
may cause physical injury, and I am fully aware of the risks and hazards involved.
2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the
Yoga classes. I represent and warrant that I am physically fit and have no medical condition which would prevent
my full participation in the Yoga classes.
3. I assume full responsibility for any risks, injuries or damages, known or unknown which I might incur as a result
of participating in the Yoga classes.
4. I knowingly, voluntarily and expressly waive any claim I or my heirs may and agree to hold BYO, Melissa
McMurray, its staff and agents harmless from any and all liability, actions, claims, demands of every kind and
nature whatsoever which may arise from or in connection with any activities of BYO at any location where a staff
member or agent may be holding a class or workshop. The terms thereof shall serve as a release and assumption of
risk for my heirs, executor and administrators and for all member of my family.
5. I understand and acknowledge that I am to receive instruction in Yoga theory and exercise only, and I will not
hold you, your partners, instructors or employees to any higher standard of care that that applicable to a school of
Yoga theory and exercises.
6. The tuition paid herewith and such tuition fees paid hereafter are nonrefundable; such refunds, if any, shall be
entirely within the discretion of BYO.

___________________________________________

______/_______/______

Signature (Parent/Legal Guardian must sign for anyone under 18)

Date


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