YOGA THERAPY - Varsha Pangarkar

YOGA THERAPY - Varsha Pangarkar
AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FOR YOGA THERAPY SESSIONS: READ CAREFULLY
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Issues to be Addressed in Therapy
I , hereby agree to the following:
1. That I am participating in Yoga Therapy and/or Private Yoga instruction/session offered by Varsha Pangarkar - USA. During these sessions I will receive information and instruction about Yoga, yoga therapy concepts which may include life style modification including but not limited to physical exercise, meditation, breathing techniques, relaxation techniques and natural/herbal remedies.
2. I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury,and I am fully aware of the risks and hazards involved.
3. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in Yoga Therapy and Private Yoga Classes.
4. In consideration of being permitted to participate in Yoga Therapy and Private Yoga Classes, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.
5. In further consideration of being permitted to participate in Yoga Therapy and Private Yoga Classes,knowingly, voluntarily and expressly waive any claim I may have against Varsha Pangarkar - USA for injury or damages that I may sustain as a result of participating in Yoga Therapy.
6. I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Varsha Pangarkar for any injury or death caused by their negligence or other acts.
7. I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, is always present and cannot be eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation.
8. Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe under certain medical conditions. I will make the instructor aware of any medical conditions or physical limitations before class.
9. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.
10. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Zest and Zen and it's instructors. Zest and Zen and its instructors (Varsha Pangarkar and substitute instructors) also provide health coaching techniques other than yoga as part of lifestyle improvement. I understand that all such techniques have their own risks and I take full responsibility for any adverse consequences or lack of improvement that might happen as part of using such techniques.
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 CONSENT TO THE ABOVE TERMS AND CONDITIONS.
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YOGA THERAPY - Varsha Pangarkar

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FOR YOGA THERAPY SESSIONS: READ CAREFULLY