Student Waiver

Name ________________________

Name/Phone of Emergency Contact:____________________________

I represent and warrant that I am in good physical health and do not suffer from any medical condition(s) that would limit my participation in yoga classes, meditations, or workshops.  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 the owner & instructorsStude, Alison Ranney & Teresa Durham and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities. I hereby WAIVE AND RELEASE Alison Ranney &/or Teresea Durham, its owners, officers, employees, and instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs she offers. I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, wellness workshops, or other activities.

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.

Print Name & Signature:                                            Date:

________________________________________________

I give Alison & Teresa the right to take photographs of me in connection with the classes. I also grant them permission to use my image or likeness in a photograph, video, or other electronic means, for advertising or promotional purposes such as but not limited to their website and social media accounts.

Print Name & Signature                                               Date:

_______________________________________________