Leah Garniss Yoga    Back to Forms

Liability Form

Leah Garniss

(Operating as Leah Garniss Yoga)

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY/DISCLAIMER FOR PARTICIPANTS THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS. READ IT CAREFULLY!

Participants's Name:
Participants's E-mail:
Participants's Phone:
Participants's D.O.B.
Street:
City:
Province:
Postal Code:
Name of Emergency Contact:
Phone:

It is your responsibility to inform the instructor of your limitations before class begins.

Do you have any physical limitations that could be aggravated by exercise (i.e. back, neck, shoulder or knee problems)

If yes, please explain

I represent and warrant that I am in good physical health and do not suffer from any medical condition, which would limit my participation in the classes offered from Leah Garniss.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops.

I understand the risks associated with the activities offered by Leah Garniss at their facility at the address of:

OR

I understand the risks associated with the activities offered by Leah Garniss at my facility at the address of:

AND THEREFORE:

I hereby WAIVE AND RELEASE Leah Garniss from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered. In taking part in the yoga classes, I understand and acknowledge that I am fully responsible for any and all risks, injuries, death or damages, known or unknown, which might occur as a result of my participation in the yoga classes, workshops, or other activities from today and forever more. I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.

I hereby assume all of the risks of participating in this activity and entering and using the noted above property address.

It is also hereby noted that the use of the above property for practicing Yoga, or any other purpose as granted, is by invitation only and is a personal property used from time to time only as a spot to practice. We further note that no guarantees or warranties are made to the condition or useful state of the property which including but not limited to:

  • any driveway
  • any walkway
  • any deck or dock, barn, shelter
  • any steps, stairs or railings
  • any other part of the property whether for intention or any other use

It should be noted that the facilities are not public and do not meet any requirements related to a public house or business open to the public including but not limited to:

  • washrooms
  • change rooms
  • showers

It should also be noted that nothing is for sale at the above mentioned property, including water or refreshments.

Furthermore, it is hereby EXPLICITLY noted that practicing yoga may create the opportunity for loss of balance. If you are practicing on the dock, the dock area at the above noted address does not, nor will it at any time have a railing that helps prevent a fall from the dock in the event of a fall. Water depths are constantly fluctuating however under no circumstances should it be assumed that there will be enough water to leave harmless the person who might fall. If location is elsewhere this also applies. If practicing at a farm you recognize that there are further risks from animals or farm related equipment and you acknowledge and assume all of the risks of participating.

TO WAIVE ANY AND ALL CLAIMS that I have now or may in the future and HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my use of or presence on the property to which the activity is held.

In consideration of permitting me to participate in this class, on behalf of myself and my executors, administrators, heirs, next of kin, successors, and assigns, I waive, release, discharge and promise to indemnify and not to sue Leah Garniss for any claims, including those arising from their own negligence, for any liability arising from my death, disability, personal injury, property damage or property theft, travelling to and from the activity, being on the property noted, any physical injury by being present on the noted property and physical area where the activity is being held and any other claims for damages I may have now or in the future, related directly or indirectly to my participation in this class.

I am aware that there is no obligation for any person to provide me with medical care during the Activity. I understand and acknowledge that:

  • there may be no aid stations available for the activity.
  • if medical care is rendered to me, I consent to that care if I am unable to give my consent for any reason at the time the care is rendered.
  • I am aware that it is advisable to consult a physician prior to participating in the Activity. If I have consulted a physician, I have taken the physician’s advice. Yoga Teacher(s) are not legally responsible for my physically health, nor injury, nor treatment if needed.
  • I agree that this Agreement and Release and Waiver is intended to be as broad and inclusive as permitted by law. Any provision found to be invalid or unforeseeable by a court shall not affect the validity or enforceability of any other provision.
  • I have read this document carefully and acknowledge that I have complete knowledge and understanding of its contents. I recognize that by signing this document I am waiving certain legal rights, including the right to sue.
  • I acknowledge that there may be risks associated with the participation in yoga activities. I have informed myself and understand the risks associated with my participation in these activities, including the risk of personal injury, and freely accept these risks.

Signature