Liability and Consent Waiver

As a registered student in a class at Potentials Wellness Center, I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction, and release of muscular tension.  I understand I will receive information and instruction; including verbal and physical instruction about yoga and health.

As is the case with any physical activity, the risk of injury, even serious and disabling, is always present and cannot be entirely eliminated. I understand it is my responsibility to consult with a physician prior to my participation in the yoga class.  I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in yoga class.  I agree to take full responsibility for any risks, losses, claim, injuries, damage, or liability, known or unknown, which I might incur as a result of participating in the program.  Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe under certain medical conditions.

I affirm that I alone am responsible to decide whether to practice yoga. I knowingly, willingly, and expressly agree to accept full responsibility and assume the risk for my use of or participation in any and all classes, activities, apparatus, appliance, faculty, privilege, or service, of any nature, which is owned or operated by Potentials Wellness Center LLC. While engaging in any class or activity operated, organized, arranged, or sponsored by Potentials Wellness Center LLC, either on or off their premises, I shall do so at my own risk, and hold Potentials Wellness Center LLC, its employees, representatives, or agents forever harmless from any and all loss, claim, injury, damage or liability sustained or incurred by me. I specifically agree to indemnify and hold harmless Potentials Wellness Center LLC as to any loss, claim, injury damage, or liability incurred or sustained by participating in the classes, activities or through my use of the facilities or equipment of Potentials Wellness Center LLC which is caused by an act or omission, whether negligent, intentional or otherwise, of an employee, representative or agent of Potentials Wellness Center LLC.  I, my heirs, or legal representatives, forever release, waive, discharge and covenant not to sue Potentials Wellness Center LLC for any injury or death caused by my participation in the yoga class or other activities organized or sponsored by Potentials Wellness Center LLC. My checking the box above constitutes my full acceptance of this waiver. I have read the release and waiver of liability and fully understand its content. I voluntarily agree to the terms and conditions stated above.