Thank you so much for joining us! Please complete the for below before participating in our Evening of Wellness event. Student Information, Liability Waiver, Hold Harmless Agreement, and Photo Notice Name * First Name Last Name Email * Do you have any injuries, illnesses or physical conditions (including pregnancy)? If yes, please give a short description.: * By signing below, I acknowledge and agree to the following: 1. Assumption of Risk: I understand that yoga includes physical movement which may involve risk of injury. I affirm that I am in good physical condition to participate, and I accept full responsibility for my own health and well-being during the class. 2. Waiver and Release of Liability: I release and discharge TLC Community Yoga & Wellness, Bridge of Light, each organization’s instructors, staff, volunteers, affiliates, and partners from any and all liability, claims, demands, or causes of action that may arise from participation in this activity. 3. Hold Harmless Agreement: I agree to indemnify and hold harmless TLC Community Yoga & Wellness, Bridge of Light and each organization's representatives against any claims, damages, or expenses resulting from my participation. 4. I understand that photos or videos may be taken during class for use in promotional, educational, or fundraising materials by TLC Community Yoga & Wellness. I acknowledge that I may appear in such images but my name will not be used without additional consent. I understand that by entering my initials in the field below, I am effectively providing my signature, indicating that I have read, understood and agreed to the policy on this registration form and that all the information on this form is true and accurate, to the best of my knowledge. * Yes No Please provide your e-signature by inserting your initials below: * Thank you,Enjoy your class!
