YITDOTS YOGA/

YITDOTS YOGA / YITDOTS FITNESS COMPREHENSIVE LIABILITY WAIVER, RELEASE OF CLAIMS, ASSUMPTION OF RISK, INDEMNIFICATION, MEDIA CONSENT, FOOD & TRAVEL AGREEMENT IMPORTANT — THIS IS A LEGAL DOCUMENT. READ CAREFULLY. SIGNING MEANS YOU UNDERSTAND AND AGREE TO ALL TERMS.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Emergency Contact Name*

First NameLast Name

Emergency Contact Relationship

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date*

Date

I voluntarily agree to participate in activities, programs, events, sessions, trainings, retreats, travel experiences, or services offered by Yitdots Yoga, Yitdots Fitness, Tracy V. Pierre, and all affiliated instructors, assistants, partners, contractors, staff, volunteers, venues, hosts, sponsors, collaborators, and representatives (“Released Parties”).Activities may include but are not limited to:• yoga• fitness training• Pilates• meditation• breathwork• mindfulness practices• partner exercises• bodywork or adjustments• emotional processing practices• wellness coaching• travel experiences• overnight stays• food or beverage offerings• group activities

I understand these activities involve inherent risks including but not limited to:

• muscle strain
• injury
• dizziness
• emotional release
• psychological reactions
• aggravation of medical or mental conditions
• accidents
• allergic reactions
• food-related illness
• travel incidents
• environmental hazards
• property loss
• permanent disability
• paralysis
• death

I acknowledge risks may arise from:

• my own actions
• actions of others
• facilities or locations
• travel conditions
• food or drink
• environmental factors
• NEGLIGENCE of Released Parties

I knowingly choose to participate despite these risks.

I confirm:

• I am physically and mentally capable of participation
• I understand my limitations
• I will stop if discomfort occurs
• I will consult a healthcare provider if needed

If I have any physical, psychological, emotional, or medical condition, I confirm I have consulted an appropriate professional and am following their advice.

I accept full responsibility for monitoring my own condition during participation and agree to modify or stop activities as needed.

I understand instructors may deny or modify my participation at any time for safety reasons.

TO THE MAXIMUM EXTENT PERMITTED BY LAW, I HEREBY RELEASE, WAIVE, AND DISCHARGE THE RELEASED PARTIES FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION, OR LIABILITY OF ANY KIND ARISING FROM MY PARTICIPATION — INCLUDING CLAIMS ARISING FROM NEGLIGENCE.

This includes claims involving:

• injury
• illness
• emotional distress
• loss
• damages
• death

I agree to indemnify and hold harmless the Released Parties from any claims, costs, damages, or legal expenses arising from:

• my participation
• my conduct
• my medical condition
• my food allergies or sensitivities
• my guests or dependents
• my violation of instructions

I understand food, drinks, herbal products, or wellness items may be offered or available.

I acknowledge:

• I am responsible for disclosing allergies and sensitivities
• I consume any food or product voluntarily
• I assume all risks related to consumption

I release the Released Parties from all liability related to food, beverage, or product use.

This agreement applies to activities conducted:

• indoors
• outdoors
• studios
• parks
• private homes
• rented venues
• retreat centers
• hotels
• international locations
• online platforms

This waiver is not limited to any single location.

For retreats, trips, or off-site experiences, I understand additional risks may include:

• transportation incidents
• weather conditions
• unfamiliar environments
• international travel conditions
• limited medical access
• political or regional instability

I voluntarily assume all travel-related risks.

For retreats, trips, or off-site experiences, I understand additional risks may include:

• transportation incidents
• weather conditions
• unfamiliar environments
• international travel conditions
• limited medical access
• political or regional instability

I voluntarily assume all travel-related risks.

I understand no statements, testimonials, or descriptions made before or during participation guarantee results or specific experiences.

I acknowledge there is no promise of:

• physical outcomes
• emotional outcomes
• spiritual experiences
• healing results
• personal transformation

I agree not to record, film, photograph, or distribute proprietary program content without written permission.

I grant permission for photographs or recordings of me to be used for educational, promotional, or marketing purposes without compensation.

I agree to behave respectfully and safely.
I understand that harmful, threatening, or inappropriate behavior may result in removal without refund.

I agree not to endanger instructors, staff, or participants.

I confirm that:

✔ I have read this entire agreement
✔ I understand it fully
✔ I understand I am giving up legal rights
✔ I sign voluntarily
✔ I agree to all terms

Any dispute or claim arising from participation shall be resolved through binding arbitration, not court, using a single arbitrator.

I understand this means:

I waive my right to a trial by judge or jury.

If any portion of this agreement is found invalid or unenforceable, all remaining provisions remain in full force.

This agreement:

• has no expiration date
• applies to all present and future participation
• remains in effect unless revoked in writing

I confirm that:

✔ I have read this entire agreement
✔ I understand it fully
✔ I understand I am giving up legal rights
✔ I sign voluntarily
✔ I agree to all terms

Full Signature of Participant*

Parent/Guardian Name (If Under 18 Years Old)

First NameLast Name

Relationship to Participant

Parent/Guardian Signature

Do you have any medical conditions or health concerns?

Preferred Method of Contact

YITDOTS YOGA/YITDOTS FITNESS LIABILITY WAIVER