Please read the following carefully:
I hereby agree to the following: I am participating in the yoga classes offered by Family Tree Yoga & Wellness, Inc., during which I will receive instruction and information about yoga. I recognize that yoga requires physical exertion, which may be strenuous and may cause or aggravate physical injury. I am willing to take on the potential risks and consequences of attending and participating in this yoga class at this yoga studio and will not hold Family Tree Yoga & Wellness, Inc., the studio, its owners or instructors responsible for any injury I may incur.
I hereby grant permission to the rights of my image, likeness and sound of my voice (or those of my child(ren) age 18 or younger) as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.
There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.
For CHILDREN under the age of 18:
In consideration of the benefits on instruction provided by Family Tree Yoga & Wellness, Inc., its instructors and the facility in which classes are held, I do hereby allow my child to participate in yoga classes and do hereby waive claim and release Family Tree Yoga & Wellness and its instructors for claim or liability for any injury or accident occurring on or arising from the child's participation during the instruction. If the parents and/or guardian of the child are not physically present on the premises, or immediately available at the emergency telephone contact numbers provided, I further authorize Family Tree Yoga & Wellness, Inc., to retain the services of a physician or other emergency medical personnel to treat the child and I accept full responsibility for any charges arising from such treatment.
By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby.
And sign in the box below:
must be signed