Release and Waiver of Liability Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### I, the undersigned, agree to the following: I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction, and relief of muscular tension. As with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture, and ask for support from the instructor. • I understand that yoga and meditation are not substitutes for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. • I understand that I am participating in yoga and meditation classes or workshops entirely at my own risk. Any recommendations for changes in diet, including the use of food supplements, weight reduction, and/or bodybuilding enhancement products are entirely my responsibility and I should consult a physician prior to undergoing any dietary or food supplement changes. • I hereby agree to irrevocably release and waive any claims that I, my heirs, or legal representatives, have now or may have hereafter against Sheela Prasad, Twenty Seven Yoga and Meditation, and all related facilities and premises for any personal injury or negligence. I further waive any claims against Sheela Prasad, Twenty Seven Yoga and Meditation, and all related facilities and premises for any injury or damages that I may sustain as a result of participating in the yoga and meditation program. • I have voluntarily chosen to participate in the activities provided by Twenty Seven Yoga and Meditation. I understand that these activities may involve risks, including but not limited to, injury, illness, or even death. I, my heirs, or legal representatives, hereby waive any and all rights to claims or damages against Sheela Prasad and Twenty Seven Yoga and Meditation in the event of any injury or loss sustained during participation. • I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. * Date * MM DD YYYY Thank you!