I represent and agree as follows to release and indemnify Tabula Rasa Creative Healing (“TRCH”), Jessica Hudson, its employees, partners, members, employees, and/or agents, as set forth below:
1. I understand and acknowledge that this service is being provided separate and apart from the Tabula Rasa Creative Healing 542 Hickory St. suite 203, Abilene TX 79601, (“Main Facility”). Further, I understand that participating in this activity at an off-site facility, or any other related event, does not make Tabula Rasa Creative Healing liable for any injuries that may occur at the off-site facility.
2. I agree, in taking advantage of this yoga service that TRCH is not liable for any action or inaction of any other employee, agent, or member or for any bodily harm or injury while providing any activities or services at any other facility that is not TRCH’s Main Facility (“Other Facility”).
3. I agree to release and hold TRCH and the Yoga Instructor harmless from any and all claims, demands, suits, cost, and/or charges in connection with or arising out of the performance of this agreement, any bodily harm or injury to the participant or any damage/loss in participating in such services or activities, and any action or inaction of any other employee, agent, or member that causes or any bodily harm, injury, or death while providing services or activities at any Other Facility.
4. I have been examined by a licensed physician and have been found by such physician to be in adequate physical health, or I self-certify that I am able to engage in yoga postures or take modifications to avoid injury.
5. I understand that classes contain physical movements and I voluntarily participate in them with full knowledge that there is risk of personal injury. I agree to follow the instructions of the Yoga Instructor to the best of my ability and will inform her if I feel incapable of performing the postures. I take full responsibility for my own level of participation in this yoga class, or program, knowing that at all times I have total free will and choice as to my own level of exertion. Therefore, I fully absolve TRCH and the Yoga Instructor from responsibility of my free will choices.
6. I agree that neither I, my heirs, assigns, or legal representatives will sue or make any other claims of any kind whatsoever against TRCH and the Yoga Instructor, its partners, members, employees, or agents responsible for any injuries suffered by me, property damage/loss, or wrongful death caused by negligence or otherwise.
7. I acknowledge that TRCH and the Yoga Instructor has the right to refuse service to anyone, including me, for any reason.
I HAVE READ AND UNDERSTAND THIS CONSENT AND WAIVER FORM AND SIGN VOLUNTARILY AND ENTIRELY OF MY OWN FREE WILL.