ACCIDENT WAIVER & RELEASE OF LIABILITY & PHOTO RELEASE FORM
In consideration of the risk of injury while participating in any and all activities associated with Yoga, Yoga Teacher Training, Pilates, Pilates for Neurological Disorders, Reiki, Neurokinetic Therapy®, Active Isolated Stretching®, McLoughlin Scar Tissue Release® and any Visiting Instructor Classes, Workshops and/or Certifications (“The Activity”), and as consideration for the right to participate in The Activity, I hereby, for myself, my heirs, executors, administrators, assignees, or personal representatives, knowingly and voluntarily enter into this liability waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in The Activity, and do hereby release and forever discharge Cynshine Yoga, Pilates & More LLC, located at 1090 S. Gilbert Rd Suite 101, Gilbert AZ 85296, their affiliates, managers, members, agents, attorneys, staff, contracted trainers, volunteers, heirs, representatives, predecessors, successors and assignees, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages economic or emotional loss, that I may suffer as a direct result of my participation in The Activity, including traveling to and from The Activity.
I certify that I am physically fit, have sufficiently prepared or trained for participation in The Activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in The Activity. I am voluntarily participating in The Activity and am participating in The Activity entirely at my own risk. I am aware of the risks associated with both traveling to and from as well as participating in The Activity, which may include but not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability including paralysis, economic or emotional loss and death. I understand that these injuries or outcomes may arise from my own or others negligence, conditions related to either travel or condition of The Activity location. Nonetheless I assume all related risks both known and unknown to me of my participation in The Activity including travel to and from and during The Activity. In consideration of my application and permitting me to participate in The Activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assignees as follows:
(A) I waive, release and discharge from all and any liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from The Activity, the following entities and/or persons: Cynshine Yoga, Pilates & More LLC and/or their directors, officers, employees, staff, contracted trainers, volunteers, representatives, and agents, and the business holders, sponsors, and volunteers;
(B) Indemnify, hold harmless and promise not to sue the Cynshine Yoga, Pilates & More LLC and/or their directors, officers, employees, staff, contracted trainers, volunteers, representatives, and agents, and the business holders, sponsors, and volunteers; from any and all liabilities or claims made as a result of participation in The Activity, whether caused by the negligence of release or otherwise.
I acknowledge that Cynshine Yoga, Pilates & More LLC and their directors, officers, volunteers, representatives, staff, contracted trainers and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting The Activity on their behalf.
I acknowledge that The Activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, contracted trainers, volunteers, monitors, and/or producers of The Activity. I hereby consent to receive medical treatment paid by my own expense, which may be deemed advisable in the event of injury, accident, and/or illness during The Activity.
PHOTO RELEASE ACKNOWLEDGEMENT: I understand while participating in The Activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by The Activity holders, producers, sponsors, organizers, and assignees.
This ACCIDENT WAIVER & RELEASE OF LIABILITY shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. This agreement is governed by Arizona Law. I certify that I have read this document and I fully understand its content. I am aware that this is a release of liability and a contract and I have had adequate time to review this document and by my signature agree to the statements held within it. I sign it of my own free will.