Class Waiver

please Read and complete the following if you or YOur child is attending a firefly yogis Class.

I hereby agree to the following:

1. That I am participating in the Yoga Classes, as well as other exercise fitness routines, Health Programs or Workshops offered by Firefly Yogis, (herein referred to as Firefly Yogis) during which I will receive information and instruction about yoga, fitness, and health. I recognize that yoga, and other exercise fitness routines require physical exertion that 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 inYoga Classes, as well as other exercise fitness routines, Health Programs, or Workshops offered by Firefly Yogis. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in the Yoga Classes, as well as exercise fitness routines, Health Programs or Workshops. I understand that it is my responsibility to update this waiver with regard to any health condition changes that I experience in the future.

3. In consideration of being permitted to participate in Yoga Classes, Camps, as well as exercise fitness routines, Health Programs or Workshops, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of my participation.

4. In further consideration of being permitted to participate in Yoga Classes, as well as exercise fitness routines, Health Programs or Workshops, I knowingly, voluntarily and expressly waive any claim I may have against Firefly Yogis for injury or damages that I may sustain as a result of participating in the program, and as a result of my negligence in participating in this activity.

5. I, my heirs, and/or legal representatives’ forever release waive, discharge and covenant not to sue Firefly Yogis for any injury or death caused by their negligence or other acts.

I hereby grant Firefly Yogis permission to use my or my minor(s) likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

I am the parent or legal guardian of the minor, and on the minor’s behalf, and on my own behalf, and on the behalf of all other parents or guardians of the minor, I accept the release and waiver of liability at the top of this form as inducement for allowing my child, or this minor to participate in the Yoga Classes, Health Programs, and Camps and Workshops offered by Firefly Yogis. I represent that I have authority to give this release.

Name
Name
Participants Name *
Participants Name
Phone *
Phone
Date
Date
Emergency Contact Number
Emergency Contact Number