POOJA VIRANI YOGA

STUDENT LIABILITY WAIVER AGREEMENT

I _________________________________ (print name) understand that yoga includes physical movements as well as an opportunity for relaxation, stress reeducation and relief of muscular tension. Participation in yoga class includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various yoga postures. Yoga postures, or asanas, are designed to exercise every part of the body―stretching and toning the muscles and joints, the spine and the entire skeletal system. They also work on the internal organs, glands and nerves. Yoga incorporates sustained stretching to strengthen muscles and increase flexibility. Yoga is an individual experience.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that in yoga class I will progress at my own pace. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the yoga teacher (the “Teacher”). I will continue to breathe smoothly. If at any point I feel overexertion or fatigue, I will respect my body’s limitations and I will rest before continuing yoga practice.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga/movement classes, trainings, and/or programs with Pooja Virani. I affirm that I alone am responsible to decide whether to practice yoga.

By signing my name below, I acknowledge that participation in yoga/movement classes, trainings, and/or programs (in person and online) exposes me to a possible risk of personal injury. I am fully aware of this risk. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any yoga/movement class, training, or program.

I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: I (a) irrevocably WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL LIABILITY for my death, disability, personal injury, property damage, property theft or actions of any kind which hereafter may occur to me, including my traveling to and from yoga/movement classes, trainings, or programs with Pooja Virani and all those associated with Pooja Virani who is hosting these classes and where sessions are being held, and each of their directors, officers, employees, volunteers, representatives and agents; and (b) INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the entities or persons mentioned in this paragraph as to any and all liabilities or claims made as a result of participation in the yoga/movement classes, trainings, and/or programs whether caused by the negligence of releasees or otherwise.

My signature or electronic agreement further acknowledges that I shall not now or at any time in the future bring any legal action against Pooja Virani and all those associated with Pooja Virani; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate in yoga/movement classes, trainings, and/or programs and a licensed medical doctor has verified my physical condition for participation in this type of class. If I am pregnant or become pregnant or am postnatal, my signature verifies that I am participating in yoga/movement classes, trainings, and/or programs with my doctor’s full approval. I realize that I am participating in yoga/movement classes, trainings, and/or programs at my own risk.

I acknowledge and agree that harassment, discrimination, or rude/offensive conduct of any type or nature will not be tolerated during my participation in the yoga/movement classes, trainings, or programs offered by Pooja Virani or during my interaction with Pooja Virani. If I engage in such conduct, I will be subject to appropriate action, up to and including separation or exclusion from yoga/movement classes, trainings, or programs offered by Pooja Virani.

I agree to arrive on time to yoga/movement classes, trainings, and/or programs with Pooja Virani. If I arrive late, I will receive the remaining schedule class or training/program session time, unless other arrangements have been previously made with Pooja Virani. My not rescheduling or canceling my attendance 24 hours in advance will result in forfeiture of the class or training/program session and a loss of the financial investment at the rate of one class/session. The expiration policy requires completion of all classes or sessions within 90 days, unless the specific training or program has a duration exceeding 90 days. No refunds will be issued for any reason, including but not limited to relocation, illness, and unused classes, sessions, or other activities.

By participating in the yoga/movement classes, trainings, and/or programs with Pooja Virani, I give my consent to have my picture taken in audio/video recording, and for these images to be used by Pooja Virani for any lawful uses, including without limitation, illustration, promotion, advertising, and/or trade. I hereby waive and release any rights to compensation for, or ownership of, such images and/or sounds. 

The Student Waiver Agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I acknowledge that this Student Waiver Agreement form will be used by the persons or entities being released in the yoga/movement classes, trainings, and/or programs and that it will govern my actions and responsibilities in said classes.

I hereby certify that I have read this document; and I understand its content I am aware that this is a release of liability as well as a contract and I sign it of my own free will.

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Date

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Signature of student, parent or guardian (If student is less than 18 years of age).

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Name of Student (Please print clearly).

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Name of parent or guardian (If student is less than 18 years of age).

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