Retreat 2022 Liability Waiver

Please fill out the following form in order to participate in the retreat.
You are only required to fill out this form once.

First Name

Birthday

Last Name

Phone

Are you 21 years of age or over?

Yes

I do hereby give my permission for my participation in the Summer Retreat 2022 with Yoga for All Musicians Studio. By checking this box, I acknowledge that I am in good health and able to participate. I have visited a licensed physician within the past 6 months and have been cleared to practice yoga. I acknowledge that it is my responsibility to inform Yoga for All Musicians of any pre-existing medical conditions or injuries that may impact my practice. In consideration of the permission granted to me to participate in the retreat, I do hereby agree, on my own behalf, to release Yoga for All Musicians Studio, and the retreat property owners, from any and all actions, causes of action, damages, claims, or demands of whatever kind of nature which I may have for injuries, known or unknown, which are incurred by, arise from, or in any way relate to my participation in this yoga retreat. I realize that I am participating in yoga instruction, hiking, water sports, and other physical activity at my own risk. My signature is binding to this liability waiver from this day forth. I have read this release and fully understand the terms. I execute the release voluntarily and with full knowledge of its significance and consequences.

I have read and reviewed the Retreat Terms and Conditions and agree to them, including but not limited to the cancellations, COVID, and recording & photography policies.View Terms and Conditions

Your Signature

I confirm that the information given in this form is true

Date

Your submission as been recorded!

Retreat 2022 Liability Waiver

Please fill out the following form in order to participate in the retreat. You are only required to fill out this form once.

Please fill out the following form in order to participate in the retreat.
You are only required to fill out this form once.