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WAIVER OF LIABILITY: MIDWEEK MINDFULNESS

We are delighted that you’ve chosen to join us and take a pause in the middle of your week to reconnect with yourself.

Before participating, please take a moment to read the waiver below and submit your signature to confirm your understanding and agreement.

If you have any questions or experience any issues with this form, feel free to contact our office for assistance.

Name

By signing this form, I hereby agree to the following:

1. That I am participating in yoga sessions offered by Your Counselling Ltd. during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga sessions. I represent and warrant that I may have physical injuries or a medical condition that are the reason I am seeking yoga sessions, I accept all responsibility for these health concerns and will not hold Your Counselling Ltd. responsible. I will provide all information necessary to ensure the yoga sessions meet my required needs. During the sessions I commit to listening to my body and informing the instructor about any pain or discomfort.

3. In consideration of being permitted to participate in yoga sessions, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.

4. In further consideration of being permitted to participate in yoga sessions, I knowingly, voluntarily and expressly waive any claim I may have against Your Counselling Ltd. for injury or damages that I may sustain as a result of participating in the program.

5. I, my heirs or legal representatives forever release waive, discharge and covenant not to sue Your Counselling Ltd. for any injury or death caused by their negligence or other acts. 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.

Fee Agreement:

Participants may choose one of the following payment options:

Full Program: $80 for all 8 weeks

Drop-In Rate: $15 per session

Please note: Drop-in participants must register by 11:00 AM on the day of the session.

Clear Signature
I agree to the terms stated above.