• COVID-19 Liability Release Waiver

    **Signature Required Prior to Returning to the Studio**
  • The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments as well as federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Live Oak Yoga LLC (LOY) has put in place preventative measures to reduce the spread of COVID-19; however, LOY cannot guarantee that you will not become infected with COVID-19. Further, attending classes at LOY could increase your risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending LOY and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 at LOY may result from the actions, omissions, or negligence of myself and others, including, but not limited to, LOY employees, LOY participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at LOY.  I hereby release, covenant not to sue, discharge, and hold harmless LOY, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of LOY, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any LOY program.

     

    I also agree not to attend class at LOY for any symptoms of illness

    Symptoms of COVID-19 include but are not limited to:

    • Fever
    • Fatique
    • Dry Cough
    • Difficulty Breathing
    • Abdominal Pain
    • Vomiting or Diarrhea
    • Skin Rashes

  • By signing below, I agree to each statement above and release Live Oak Yoga, LLC from any and all liability for the unintentional exposure or harm due to COVID-19.

     

  •  -  -
    Pick a Date
  • Clear
  • Should be Empty:
Jotform Logo
Now create your own JotForm - It's free! Create your own JotForm