Yoga is Art — Liability Waiver (One-Time)

By signing below and in consideration of participation in Cory J. Sampson's/Sampson Squared Enterprises, LLC's (hereinafter referred to as 'Cory/Sampson2') private sessions, on behalf of myself and my relations, I hereby release to the fullest extent of the law, instructors, employees, and volunteers from the liability for injury, death or property loss suffered by me resulting even arising from the negligence of the release or others, and assume full responsibility for my participation and acknowledge I have read the foregoing waiver and Activity Detail Form.

I understand that participating in yoga with Cory/Sampson2 (hereinafter referred to as 'Activity') entails inherent risks of physical injury, including, but not limited to, the risks described in the Activity Detail Form below. I have been given the chance to ask questions concerning Activity, and all such questions have been answered to my satisfaction. Having read this form, I am fully aware of the risks and hazards associated with the Activity and hereby elect to participate voluntarily. I voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including death, which I may have sustained due to participating in the Activity unless caused by the gross negligence or willful misconduct of Cory/Sampson2, employees, or volunteers.

In consideration for Cory/Sampson2 allowing me to participate in the Activity, I agree I will not sue Cory/Sampson2, and I release Cory/Sampson2 from any liabilities, claims, demands, actions, causes of actions, costs and expenses of any nature whatsoever arising out of any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me, arising from the Activity or while upon the premises where the Activity is being conducted, excepting those claims arising from the gross negligence or willful misconduct of Cory/Sampson2.

I agree to indemnify and hold harmless Cory/Sampson2, its instructors, staff, and affiliates from any claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney's fees, brought as a result of your involvement in the Activity, excepting those claims arising from the gross negligence or willful misconduct of Cory/Sampson2.

I warrant that I am physically fit and in a condition that will allow me to participate fully in the Activity. I have active medical insurance that covers me for accidents and illnesses while I am participating in this Activity or agree to pay medical costs incurred for accidents and illnesses in a self-pay manner. I understand Cory/Sampson2 has not made, nor will make, any investigation into my physical fitness or ability to participate, and I assume full responsibility of payment of medical expenses not covered by my insurance that occurred as a result of my participation in the Activity.

I grant Cory/Sampson2 permission to authorize emergency medical treatment as it deems appropriate and agree that such action by Cory/Sampson2 shall be subject to the terms of this agreement. I understand and agree that Cory/Sampson2 assumes no responsibility for any injury or damage that might arise from or in connection with such authorized emergency medical treatment.

I hereby grant permission to Cory/Sampson2, its instructors, staff, and affiliates to use my photograph, video, or likeness for any lawful purpose, including but not limited to publications, promotional materials, and online platforms. I understand that I will not receive any compensation for using such images. I release Cory/Sampson2, its instructors, staff, and affiliates from any claims, demands, actions, or causes of action that I may have against them for defamation, invasion of privacy, or any other cause of action arising out of the use of my photograph, video, or likeness.

I express intent that this agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assignees, and personal representatives. I agree that the laws of the State of New York shall construe this agreement and any claim arising from my participation in the Activity without regard to its conflict of laws provision. The courts of Erie County shall be the forum for any lawsuits arising from this Activity or incident to this agreement. The terms of this agreement shall be severable, such that if a court of competent authority holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this agreement, I acknowledge that I have read the entire waiver form, understand it, and agree to be bound by its terms. I further acknowledge that I signed this waiver form voluntarily and am at least 18 years of age.

By participating in the yoga sessions, you acknowledge that you have read this disclaimer and waiver of liability, fully understand its terms, and are signing it freely and voluntarily without any inducement.

By participating in the above activities, you may be exposed to several inherent risks, including, but not limited to: Lower leg problems, Shin Splints, Fractures; Lower back problems; Shoulder problems; Tendonitis; Muscle pulls; Nausea; Dizziness; Dehydration; May aggravate current injuries or disorders such as Knee injuries, Asthma, Diabetes, Seizures, Cardiopulmonary disease, and any other condition not mentioned. Persons who are pregnant, have glaucoma of the eyes, have high blood pressure, or experience any vertigo should consult with their physician before signing up for a yoga class. Those mentioned must have a doctor's written clearance and alert their instructor before the first session. There is a risk of falling during balancing poses; persons who should not twist their spine should refrain from poses that do so. We request you conduct your participation with the safety of yourself and others in mind.

These are Pay-What-You-Wish classes, not free classes. All donation amounts are welcomed and appreciated — there's no maximum. Respectfully, no donation is not an option.