In consideration of and as an inducement to my participation in yoga, I represent and agree as follows:
(1) I (hereinafter “I” or “applicant”) have been examined by a licensed Physician within the past six months and have been found by such physician to be in good health and fully able to perform all yoga exercises.
(2) I will faithfully follow all instructions given by yoga instructors as to when and how to perform and not perform yoga exercises. I knowingly and willingly assume the risk of personal injury, disease, or death, whether known or unknown, from the practice of yoga and group exercise activities.
(3) I understand and agree that I will receive instruction in yoga theory and exercise only and that I hold harmless the Village of Bourbonnais, its employees, officers, directors, shareholders, and contract trainers for any damage to or theft of personal property on or away of Village of Bourbonnais premises, or personal injury, including but not limited to bodily injury, disease, disability, humiliation, or consequential loss of any kind arising out of my participation in any Village of Bourbonnais event or activity.
(4) In the event that I am pregnant, I will not attend yoga class until I have discussed the potential risks to my unborn child/fetus or me with my obstetrician. I agree that I will follow my obstetrician’s recommendations on behalf of myself, my heirs, spouse or other interested party holds harmless Village of Bourbonnais for any possible injury to myself or my unborn child/fetus.
(5) If I am under 18 years of age, I warrant that I have disclosed my age to Village of Bourbonnais and in addition to my signature, have provided the signature of my parent or legal guardian below.
(6) Any provision not in conformity with the laws of the State of Illinois is hereby severed from this agreement and the remaining provisions remain enforceable. Applicant agrees that any dispute regarding this agreement will first be tendered by parties to a member of The American Arbitration Association for resolution prior to filing of any lawsuit. Applicant also agrees, failing a successful arbitration effort, that the 21st Judicial Circuit Court of Kankakee County, Illinois shall be the sole and exclusive jurisdiction for any and all lawsuits, enforcement actions and/or causes of action concerning or related to this agreement.