Registration and Waiver Agreement

Welcome to our ZaZen community.

In order to serve you better - Be sure to complete and submit this required registration and waiver agreement on your first visit before arrival. Thank you!

Participant's Name *

First Name Last Name

Contact Phone Number

Email *

example@example.com

Emergency Contact Name

First Name Last Name

Emergency Contact Phone Number

Please enter a valid phone number.

Before your first session, is there any relevant health condition/injuries that we should know about you?

By registering as a participant of ZaZen Studio, I agree to the following:

I will be participating in meditation sessions, yoga classes, health programs, workshops and other wellness, exercise and healing arts activities (collectively, the “Activities”) offered by ZaZen Studio Inc. During the COVID-19 pandemic, the “Activities” normally offered in the physical location of the Studio may be offered online by videos, television, podcasts, apps or other digital media or platforms. All of such offerings, either physical or online, shall be considered “Activities.” I agree to assume full responsibility for any risks, injuries or damage, known or unknown, which I might incur as a result of participating in the “Activities” offered by ZaZen Studio Inc. I agree to inform my instructor of any physical limitations, physical discomfort and/or injuries before or during classes, and I take full responsibility for nondisclosure. In further consideration, I knowingly, voluntarily and expressly waive any claim I may have against ZaZen Studio Inc., its owners, its assistance or employees, for injury or damages that I may sustain as a result of participating in the “Activities”. I understand that the information and material provided is for educational purposes only. We, at ZaZen Studio, encourage you to use all provided material at your own discretion. If you have any health issue, medical emergency, or a general health question, you should contact your family doctor or other qualified health care provider for consultation, diagnosis and/or treatment, before enrolling in any “Activities” offered by ZaZen Studio Inc.

By signing below I acknowledge that 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.

Participant's Signature *

Clear

Date Signed *

Date

Parent / Guardian Waiver For Minors

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

I HEREBY CERTIFY that I am the parent or guardian of blanks , named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.

Parent / Guardian's Name

First Name Last Name

Relationship to Minor:

Parent / Guardian's Signature

Clear

Date signed

Date