Online Waiver

Before we practice, please take the time to fill out the information below.

RELEASE OF LIABILITY WAIVER

I understand that yoga includes physical activity and, as with all physical activity, there is the risk of injury or varying types and degrees, which risk cannot be entirely eliminated. If I experience any pain or discomfort, I agree that I will discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages which may be incurred as a result of my participation in the yoga activities. ​<br> I understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment, nor is yoga recommended or safe under certain medical conditions. By signing, I affirm that a licensed physician has verified the status of my health and physical condition as sufficient to allow me to participate in the physical activity required by the yoga program. I agree that I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and my participation is at my own risk. I agree to irrevocably release and waive any claims that I have now or may have hereafter against Jacqueline Wilson, Yogi with Jacque and its instructors. I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of California.

PHOTO AND VIDEO RECORDING RELEASE

(optional)

In order to promote the benefits of hosting yoga classes, Yogi with Jacque would like your consent to use your photo and/or video in media publications (for example, websites, social media, brochures, flyers, and other materials). If you would like to opt in, please sign the waiver below authorizing the approval of the media release.

​I hereby give the Yogi with Jacque permission with respect to photographs, videos, motion pictures, and/or sound recordings being taken to use, publish, and republish in the same, in whole or in part, on the business website or in printed materials, separately or in conjunction with other photographs or recordings. I hereby release and discharge Yogi with Jacque and third parties collaborating with Yogi with Jacque from any and all claims in connection with the uses and reproductions of any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience Yogi with Jacque as described herein.