AWARENESS OF RISKS
• I acknowledge that there are risks associated with participation in the activities and programs offered or sponsored by Upward Dog Yoga Centre. I have informed myself and understand the risks associated with my participation in these activities and programs and (where applicable) my use of the facilities, including the risk of personal injury, and I freely accept these risks.
• I understand that I am free to withdraw from or reduce my participation in the activities and programs offered or sponsored by Upward Dog Yoga Centre at any time.
• I am not aware of any medical condition that would affect my ability to participate in the activities and programs offered or sponsored by Upward Dog Yoga Centre. If I have any concerns about my medical condition. I will consult with my physician before participating in the activities and programs offered or sponsored by Upward Dog Yoga Centre.
Are you currently experiencing any of the following conditions?
Asthma High blood pressure
Heart/Circulatory Problems Diabetes
Dizzy spells/Fainting Epilepsy/Seizures
Pregnancy Low blood pressure
Neck/Back/Spine injury - Specify:
Muscular injury - Specify:
Joint injury (ankle, knee, hip, elbow, shoulder) - Specify:
Recent surgery - Specify:
Other medical condition, injury or disability - Specify:
Are there any other injuries or ailments that the instructor should know about? (please inform instructors prior to class)
Are you currently taking medication or do you have any serious allergies that should be made known to the medical personnel in case of an emergency?
RELEASE AND WAIVER.
In consideration of the acceptance of my registration for the activities and programs offered or sponsored by Upward Dog Yoga Centre, I hereby for myself, my heirs, executors, administrators, or any others who may claim on my behalf, promise not to sue, and hereby waive, release and discharge Upward Dog Yoga Centre and anyone acting for or on its behalf, from any and all claims of liability for personal injury, illness, loss of life or property damage of any kind or nature, arising out of or sustained in the course of my participation in the activities and programs offered or sponsored by Upward Dog Yoga Centre or attending yoga related events. This Release and Waiver applies to all claims, foreseen or unforeseen, including negligence and breach of statutory or other duty of care (including that owed under The Occupier's Liability Act).
I agree that Upward Dog Yoga Centre is not responsible in the event of loss, damage, unauthorized use, theft, or injury resulting from and to any personal property that I bring onto the premises.
I agree that this Agreement and Release and Waiver is intended to be as broad and inclusive as permitted by law. Any provision found to be invalid or unenforceable by a court shall not affect the validity or enforceability of any other provision.
I have read this document carefully and acknowledge that I have complete knowledge and understanding of its contents. I recognize that by signing this document I am waiving certain legal rights, including the right to sue. I am signing this document voluntarily.