Fill out the waiver below and submit.  Also make sure submit the Private Instruction Form if you have not already.

Private Instruction Waiver

I, the undersigned, understand there is an inherent risk associated with any exercise program including my voluntary participation in yoga that may result in injury.  The exercises related to yoga will challenge my cardio-respiratory and musculoskeletal systems associated with the aerobic, anaerobic, strength, power, agility, flexibility and breathing components of the program.  I  understand and am aware that the components of exercise/yoga are potentially hazardous activities and may cause injury.

I acknowledge that I have either had a physical examination and/or have been given permission from my physician to participate in a yoga-based exercise program or that I have decided to participate in an exercise program voluntarily and without the approval of my physician and do hereby assume all responsibility for my participation in any exercise/yoga or activity associated with Catherine S. Marquette.

I certify that I am physically well or have disclosed all conditions, impairments, diseases or any other illness that would prevent my full participation or increase my risk of injury and/or illness as a result of partaking in any exercise/yoga program or other activities or workshops.

I, my heirs or legal representatives do hereby forever waive and release Catherine S. Marquette from any and all liability and responsibility from injury, accident, illness, legal and medical fees sustained now or in the future resulting from my participation in any exercise/yoga activity.

I acknowledge that I have read this waiver of liability form.  I fully understand its terms and conditions and understand that I am waiving and giving up my right to sue Catherine S. Marquette.  I acknowledge that I am signing this agreement voluntarily and intend by my electronic signature for this to be a complete and unconditional release of liability to the greatest extent allowable by law.

Other Aspects of the Agreement

Catherine S. Marquette agrees to provide yoga instruction to the undersigned in exchange for payment.  Student understands that there is a 24hr cancellation policy and that any sessions not cancelled with at least 24hr notice will not be rescheduled.  All fees are non-refundable.

Date of e-signature *
Date of e-signature
Name *
Name
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