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Assumption Of Risk & Liability Release For Yoga And Other Related Exercises
I have enrolled in a program of strenuous physical activity including but not limited to various yoga and other exercises offered by Karen Y. Stolz. I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this program.
In consideration of and as part payment for, the services of Karen Y. Stolz, to instruct and assist me, I, on behalf of myself, my heirs, assigns, personal representatives and estate have and do hereby agree to release and discharge Karen Y. Stolz as follows:
I am aware that during my participation in the activities offered by Karen Y. Stolz that certain risks and dangers exist including, but not limited to, heart attacks; fainting; broken bones; bruises, strains, pulls, tears to muscles and joints; heat prostration; various injuries to neck, knees, back or feet, and any other illness; soreness or injury however caused, occurring during or after my participation in the exercise program.
I expressly agree and promise to accept and assume all of the risks listed above and any others not listed existing in these activities. My participation is purely voluntary, and I elect to participate in spite of the risks.
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless, Karen Y. Stolz from any and all claims, demands, or causes of actions which are in any way connected with my participation in this activity including any such claims which allege negligent acts or omissions of Karen Y. Stolz.
I have had sufficient opportunity to read this document, fully understand it and agree to be bound by its terms.
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Student Signature
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Instructor Signature
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