Agreement of Release and Liability Waiver

 

I, __________________ , hereby agree to the following:

  1. That I am participating in the TriYoga classes, programs and workshops offered by Géraldine Gyger, during which I will receive information and instruction about TriYoga and health. I recognize that exercise requires physical exertion which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

  2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the TriYoga classes, programs or workshops. I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation in the TriYoga classes, programs and workshops.

  3. In consideration of my being permitted to participate in the TriYoga classes, programs and workshops, I agree to assume full responsibility for any risks, injuries or damages, known or unknown which I might incur as a result of participating in or applying information from the program.

  4. In further consideration of being permitted to participate in TriYoga classes, programs and workshops, I knowingly, voluntarily and expressly waive any claim I may have against Géraldine Gyger, her employees or facilities, for injury or damage that I may sustain as a result of participation in or application of information from the program.

  5. I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Géraldine Gyger, her employees or facilities, for any injury or death caused by their negligence or other acts.

I have read the release and waiver of liability and fully understand its contents.

I voluntarily agree to the terms and conditions stated above.

____________________________________________ ________________________________________

signature of participant date

________________________________

telephone number of participant

If participant is under 18:

As a legal guardian of _____________________________________ , I consent to the terms and conditions stated above.

____________________________________________ _________________________________________

signature of parent/guardian date

Witnessed by: __________________________________________________________

(instructor signature)