YOGA LIABILITY WAIVER & INTAKE FOR CHILDREN AND TEENS

YOGA LIABILITY WAIVER & INTAKE FOR CHILDREN AND TEENS
I hereby agree to the following:

I and/or my child has permission to attend a yoga class from Little Yogi Tribe LLC.

I and/or my child are participating in classes or services during which we will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my and/or my child’s participation in any physical fitness program, including yoga. I represent and warrant that I and/or my child have no medical condition that would prevent us from participation in physical fitness activities.

In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I and/or my child might incur as a result of participating in the program. In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly waive any claim I and/or my child may have against the instructor, the owner, or the leaseholder of the building for injuries or damages that I and/or my child may sustain as a result of participating in classes or workshops conducted by Little Yogi Tribe LLC.

If I and/or my child participates in other classes or events hosted by Little Yogi Tribe LLC I will also assume full responsibility for any injuries that may result from our participation, with the same considerations that this waiver stipulates for yoga.
PHOTO RELEASE: I acknowledge that photographs or images of myself/my child may be taken during the activity. I provide Little Yogi Tribe LLC, along with their agents and affiliates, with unrestricted permission to utilize my/my child's image (photo or video) or any other documentation of our participation in this activity in any form of broadcast, telecast, or other reports related to the activity for promotional purposes, without any compensation. I and/or my child will not be identified by name in such images.
By Signing this waiver, I affirm that I have read the above release and waiver of liability and fully understand its content. I voluntarily agree to the terms and conditions stated above.
Parents/Guardians of minor participants: As the minor’s parent/guardian, I hereby consent to his/her participation in the activity. If my child is injured or becomes ill and neither I nor the other parent/guardian can be reached at the numbers below, I give the Little Yogi Tribe LLC permission to seek medical attention for my child. Initial here
Emergency Contact Info Parent/Guardian Name:      First Name   Last Name
Primary Phone:   Area Code   Phone Number
Email Address:   Email
Emergency Contact Info Parent/Guardian Name:   First Name   Last Name
Primary Phone:    Area Code   Phone Number
Email Address:   Email
Printed Name of Participant #1:  First NameLast Name
Participant’s DOB:    Date

Printed Name of Participant #2:  First NameLast Name
Participant’s DOB:    Date

Printed Name of Participant #3:  First NameLast Name
Participant’s DOB:    Date
Parent/Guardian Signature:

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YOGA LIABILITY WAIVER & INTAKE FOR CHILDREN AND TEENS

By Signing this waiver, I affirm that I have read the above release and waiver of liability and fully understand its content. I voluntarily agree to the terms and conditions stated above.