Waivers | Lilac Lotus Wellness

Lilac Lotus Yoga Liability Waiver

Participant's First name

Participant's Last name

READ RELEASE THOROUGHLY FAILURE TO DO SO WILL NOT VOID THIS DOCUMENT

I (AS THE PARTICIPANT LISTED ABOVE IS HEREBY REFERRED TO) release Lilac Lotus Yoga & Wellness LLC and Yoga Instructor Emily Carter from any responsibility and/or liability

concerning the application, processing, and/or consequences of yoga and fitness classes including in-person, virtual and yoga with goats events that I elected to participate. I consent to have the above described yoga/fitness services of my choice applied.

Understanding the risks of minor and major injury, physical and emotional trauma, damage to property or personal items and general harm, I release Lilac Lotus Yoga & Wellness LLC its

employees and its agents harmless against any and all liability, damage, and/or expenses arising out of or in connection with actions, claims, and/or damages resulting in personal injuries and disabilities (physical and/or psychological) or transmission of a communicable disease that I might incur as a result of the service provided today and I agree to voluntarily participate understanding these risks and their outcomes.

I also affirm that understanding the above described activities that I am healthy enough to participate.

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Signature of Participant or Parent/Guardian

Today's Date

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Lilac Lotus Yoga Liability Waiver

READ RELEASE THOROUGHLY FAILURE TO DO SO WILL NOT VOID THIS DOCUMENT

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