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Waiver & Release Form

Please read carefully:
 

Acknowledgement/Assumption of Risk of Injury

I have fully informed myself of all details of taking yoga with Stacy Levy Yoga and have received satisfactory answers to all questions I have concerning the yoga classes and the risks inherent in the program. I acknowledge that there are certain risks of injury associated with participation in yoga. I agree to assume the full risk of any injury which I may sustain as a result of participating in the yoga classes.
 

Waiver and Release of Claims for Injury

I hereby agree to, and do waive, release and relinquish all claims of every kind, known and unknown, present and future, that I may have against Stacy Levy Yoga, arising out of, connected with, or in any way related to, the program and my participation therein.


In the event of an emergency, I authorize Stacy Levy Yoga to secure from any licensed hospital, physician or medical personnel any treatment deemed necessary for my immediate care and I agree I will be responsible for payment of any and all medical services required.
 

Indemnity and Defense

I further agree to indemnify and to hold harmless and defend Stacy Levy Yoga from any and all claims of every kind, known and unknown, present and future, that I may have arising out of, connected with, or in any way related to the yoga classes and my participation therein.

Cancellation Policy

I am aware of the 24-hour cancellation policy and agree to being responsible for the full payment of my session should I cancel within this time frame. 

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