Adult Off Site Event Waiver

WAIVER AND RELEASE OF LIABILITY

  1. I represent that I am physically capable of participating in any/all programming provided by Balance Studio, LLC (herein referred to as Balance)
  2. I understand that Pilates classes, yoga classes, and physical exercise can be strenuous and may expose me to many inherent risks, including accidents, serious injury, illness, or even death. I have been fully advised that no exercise, activity, yoga program or pilates should be taken without the consent of a doctor or physician and I am responsible for undertaking to obtain such consent prior to participation.
  3. I agree that if I engage in any physical activity or use any Balance amenity on the premises or off premises as well as any sponsored retreat, workshop, special event, private session, private event, or other programming event, I do so entirely at my own risk.
  4. I agree that I am voluntarily participating in the activities provided, directly and indirectly, by Balance and the use of facilities and premises provided and assume all risks of injury, illness, or death.
  5. I agree that Balance is not responsible for any loss of, or damage to, personal property.
  6. I understand that classes and all programming may be extremely demanding and I take full responsibility for knowing, monitoring, and acting within my abilities and learning and incorporating any modifications or adaptations necessary to proceed with such activities in a safe and appropriate manner.
  7. I agree that Balance and its owners, directors, instructors, apprentices, employees, agents, and assigns shall not be liable or responsible for any injuries to me which may occur as a result of (a) my use of all amenities and equipment provided by Balance and my participation in any activity, class, program, or instruction, (b) Balance instruction, training, or supervision. 
  8. I acknowledge that I have read this Waiver and Release and understand that it is a RELEASE OF LIABILITY.
  9. I expressly agree to release and discharge Balance and its owners, directors, officers, employees, agents, affiliates, representatives, successors, assigns, and instructors for any and all claims, causes of action or judgments that may arise out the events noted in Item 7 above and I agree to voluntarily forfeit or waive any right that I may otherwise have to bring a legal action against Balance for personal injury or property damage. To the extent that statute or case law does not prohibit release for ordinary negligence, this release applies to any ordinary negligence on the part of Balance, its owners, agents, officers, directors, and employees.
  10. I expressly agree that this release shall be binding to my heirs, executors, administrators, and assigns.

Please consult your physician before participating in any yoga, Pilates or physical exercise especially if you have any of the following conditions: pregnancy, glaucoma, recent surgery (esp. shoulder, eyes, back, hips, hands or wrist), heart disease, very high or low blood pressure, easy onset vertigo, epilepsy, osteoporosis/bone weakness, recent head injury, cerebral sclerosis, propensity for fainting, carpal tunnel syndrome, severe arthritis, sinusitis or head cold, hiatal hernia, disc herniation or acute discogenic disease, recent stroke, artificial hips, radiculitis (inflammation of nerve root in spine), severe muscle spasms, Botox (within 24 hours) and/or any other health conditions and issues.

 POLICIES:

  • Please turn off or put cell phones on silent while in class. This helps minimize distraction to yourself and others.
  • For the welfare of others, please do not attend class if you are ill or contagious.
  • If an injury occurs to you during your class/session, please let your teacher know right away to make sure you are taken care of, and the incident is documented.

 

PHOTO & VIDEO RELEASE WAIVER: 

I hereby grant permission to Balance, and its owners, officers, trustees, employees, agents, students, representatives, successors, licensees and assigns to photograph and/or video my image, likeness, or depiction and/or that of my minor children (if applicable). I hereby grant permission to Balance to edit, crop, or retouch such photographs and/or videos, and waive any right to inspect the final photographs and/or videos. I hereby consent to and permit photographs and/or videos of me and/or those of my minor children to be used by Balance worldwide for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that Balance may use such photographs and/or videos with or without associating names thereto. I further waive any claim for compensation of any kind for Balance’s use or publication of photographs of me and/or those of my minor children (if applicable). 

Initial Here

 I hereby fully and forever discharge and release Balance from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs and/or videos of me and/or those of my minor children (if applicable) by Balance, and covenant and agree not to sue or otherwise initiate legal proceedings against Balance for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable.

Initial Here

I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).

Sign Here

 


By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.