If you are under 18 years old we will require consent by either your Parents or Guardian
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN YOGA CLASSES WITH THE OM REVOLUTION, including by way of example and not limited to, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity and have not been advised to not participate, by a qualified medical professional. I certify that there are no health-related reasons or problems, which preclude my participation in this activity.
I acknowledge that The Om Revolution will use this Accident Waiver and Release of Liability Form and that it will govern my actions and responsibilities at all activities with The Om Revolution.
In consideration of my application and permitting me to participate in this activity, I hereby take action for executors, my administrators, heirs, next of kin, successors, and myself and assign as follows:
- (A)I WAIVE, RELEASE AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me including my travelling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The Om Revolution and/or their directors, employees, volunteers, representative and instructors.
- (B)INDEMNIFY, HOLD HARMLESS AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that The Om Revolution and/or their directors; employees, volunteers, representatives and instructors are NOT responsible for the errors, omissions, acts or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity may involve a test of a person’s physical and mental limit and carries with it the potential for death, serious injury and property loss. This risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration and actions of other people including, but not limited to The Om Revolution and/or their directors, employees, volunteers, representatives and instructors.
I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during this activity.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.