Liability Release

The Twisted Monkey Yoga Studio

To participate in Yoga classes, Workshops and Events (the “Programs”) offered by The Twisted Monkey Yoga Studio, you must please read and agree to the terms below and provide the necessary registration information. If it is your first time at our studio, please print, fill out, and bring this form with you to save some time at check-in. Namaste.

I hereby agree that:

I am aware that participation in Yoga or related Programs may result in accident or
injury, and I fully assume the risks connected with my participation. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in Yoga Classes, Workshops and Events, and to receive prior approval to participate. I represent and warrant that I am in good health and do not suffer from physical impairment, medical condition or injury, which would limit my use of The Twisted Monkey Yoga Studio’s facilities. I understand that it is my continuing responsibility to inform the instructor(s) at The Twisted Monkey of any previous medical conditions, injuries or surgeries prior to my first class and at such other times as I acquire information as to same. I acknowledge that The Twisted Monkey Yoga Studio has not and will not render any medical service including medical diagnosis of my physical condition. I specifically agree that The Twisted Monkey Yoga Studio, its officers, employees and agents shall not be liable for any claim, demand, cause of action of any kind whatsoever for, or on account of personal injury, death, property damage or loss of any kind resulting from or related to my use of the facilities or participation in any activity within or without the building premises and I agree to hold The Twisted Monkey Yoga Studio harmless from same.  I also understand that, except for monetary refund, I have no claim against the Twisted Monkey Yoga Studio by reason of their refusal to allow me to participate in the Programs.

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.

Date__________________Signature of Participant___________________________

Full Name___________________________________Birthday_____/_____/_____

Email  Address (Print Clearly) ___________________________________________

Name of Class or Instructor:_______________________________ Time:_________

Referred by: Web_____ Facebook_____ Living Social_____ Groupon_____ Flyer_____ Drive by_____ Friend/Member_____________________ Other_________________

Do you have injuries?  Yes  /  No, if yes please list: _________________________________________________________________

Thank you for you cooperation and welcome to The Twisted Monkey Yoga Studio!

We love feedback! Please email us at twistedmonkeyyoga@gmail.com or use the "Contact Us" page. Namaste.

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