Street Address Line 2
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Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
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Isle of Man
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Wallis and Futuna
Emergency Contact (EC) Name
EC Phone Number
New to Yoga
Years of practice
How did you hear about us?
I understand that it is my responsibility to consult with a physician prior to and regarding my participating in the Yoga Classes and to receive prior approval to participate. I represent and warrant that I am physically fit and have no medical condition or injury which would prevent my full participation in the Yoga Classes.
I understand that I will be participating in yoga classes, health programs and/or workshops, events, trainings (collectively, the “Yoga Classes”) offered by One Yoga for All LLC during which I will receive information and instruction about yoga and health. These classes may entail intensive physical activity and exertion by me. I recognize that such physical activity and exertion may be difficult and strenuous and may cause or aggravate a physical injury or medical condition. I am fully aware of and accept any risks and hazards involved.
In consideration of being permitted to participate in the Yoga Classes, I agree to assume full responsibility for any risks, conditions, injuries or damages known or unknown which I might incur or aggravate as a result of my participation. I, my heirs, successors, assigns and/or legal representatives, forever release, waive, discharge, and covenant not to bring a cause of action against or hold responsible in any way One Yoga for All LLC, its instructors, employees, staff, officers, directors or shareholders and/or the landlord of any premises at which it may operate, for any injury, condition or death, which arises, is caused by, or is aggravated by reason of my participation in the Yoga Classes.
In further consideration of being permitted to participate in the Yoga Classes, I knowingly, voluntarily and expressly waive any claim I may have or acquire against One Yoga for All LLC, its instructors, employees, staff, officers, directors or shareholders, or the landlord or any premises at which it may operate, or any injury, condition or damages that I may sustain as a result of entering or being on the premises or participating in the Yoga Classes.
The tuition paid herewith and any participation fees paid hereafter are non-refundable and non-transferable. Extensions are only considered if injury and/or health condition occurs and an official doctor's note is provided.
AutoPay. When choosing One Yoga for All LLC’s memberships and subscriptions, I understand that my credit card is saved on file by One Yoga for All LLC’s chosen Point of Sale vendor, Square LLC, for automatic monthly charges. I authorize One Yoga for All LLC to charge my credit credit card on file for as long as my subscription is active. I understand that I can cancel my subscription/AutoPay online at any time, and that there are no refunds nor extensions for subscriptions/AutoPay memberships.
I understand that it is my continuing responsibility to inform the instructor(s) at One Yoga for All LLC of any previous medical conditions, injuries, surgeries or if I am pregnant prior to my first class and at such other times as I acquire information as to same.
I understand that One Yoga for All LLC yoga studio may provide an area for personal belongings to be held during class, however, I agree that One Yoga for All LLC, is in no way responsible for the loss or damage of my belongings while I attend any programs, classes or workshops.
I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against One Yoga for All LLC, its instructors, employees, officers, directors or shareholders, or the landlord of the premises by reason of their refusal to allow me to participate in the Yoga Classes.
I understand that One Yoga for All LLC reserves the right to refuse or discontinue service at any time for any reason: We reserve the right to terminate or deny membership for an indeterminate amount of time if a client has an unsatisfactory payment history. Inappropriate behavior from clients will not be tolerated in any manner.
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.
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