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Wellness Waiver

Before checkout of any classes or consultations, a Wellness Waiver must be submitted. 

Please reach out for any questions or clarifications.

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FOR YOGA, AYURVEDIC YOGA

AND AYURVEDIC WELLNESS COUNSELING

collectively known as the “Wellness Program”.

By visiting this website www.yogawithaashish.com, or engaging with any free or paid virtual or

in-person activity, I agree to the terms of this Agreement of Release and Waiver of Liability.

 

It is my responsibility to inform the instructor of any health concerns before beginning

any recommended services.

 

I understand that the Wellness Program includes physical and mental activity and, as with all

physical and mental activity, there is the risk of injury of 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 Wellness

Program.

 

I understand that the Wellness Program is not a substitute for medical attention, examination,

diagnosis or treatment, nor is it recommended or safe under certain medical conditions. By

signing, I affirm that a licensed physician has verified the status of my health, mental and

physical condition as sufficient to allow me to participate in the physical and mental activity

required by the Wellness Program. I agree that I will make the instructor aware of any medical

conditions, mental 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 in the

 

Agreement Revision September 19, 2023

Wellness Program and my participation is at my own risk. I agree that any information or advice

that I seek or may be given to me, may or may not be given by a person with an education on

the topic. I understand that I alone am responsible to verify information or advice

independently, and release Do Vibrant Yoga With Aashish, Inc., its owners, and its instructors

from any resulting harm. I agree to irrevocably release and waive any claims that I have now or

may have hereafter against Do Vibrant Yoga With Aashish, Inc., its owners, and its instructors.

 

I hold harmless Do Vibrant Yoga With Aashish, Inc., it’s employees, owners, and contracted

instructors, for any harm, damages or theft of any damage, or theft of personal property on or

away from Do Vibrant Yoga With Aashish, Inc. premises, virtually online, or personal injury,

including but not limited to mental, bodily injury, disease, disability, death, or consequential loss

of any kind arising out of my participation in any Do Vibrant Yoga With Aashish, Inc. event or

activity. If I am under the age of 18, I warrant that I have disclosed my age to Do Vibrant Yoga

With Aashish, Inc. and have provided the signature approval of my parent or legal guardian.

 

I understand that participation in the Wellness Program classes includes possible exposure to

infectious diseases including but not limited to MRSA, influenza, and COVID-19. While there are

and may be established, either by governmental action, the studio, the instructor, or otherwise,

certain rules, regulations, protocols, procedures, and restrictions, as applicable to the studio, the

instructor, and me, as the student, the purpose of which is to reduce the risk of infection, there is

a risk of serious illness and death. I understand and freely assume this risk, as well as the

responsibility of complying with all rules, regulations, protocols, procedures, and restrictions,

whoever or whatever established them. I knowingly and freely assume the risk of infection, even

if it arises from the negligence of anyone else, including but not limited to the studio and the

instructor, and I waive and release Do Vibrant Yoga With Aashish, Inc., as well as its staff, the

instructor and any other person or entity involved in arranging, conducting, or providing any

services in any way for the Wellness Program session or instruction, regarding any claim, injury,

disability, death, as well as any loss or damage to person or property, that might result from

exposure to any communicable disease.

 

Agreement Revision September 19, 2023

I also understand and agree that, if I observe, become aware of, or in any way have or gain

knowledge of any unusual or significant hazard during my presence or participation, including

but not limited to the presence of any communicable disease, I will remove myself from

participation and bring such to the attention of the instructor and/or nearest representative of the

studio immediately.

 

I also understand that, during the course of the Wellness Program activities, you may receive in

some form information about me that would be considered as confidential or protected,

including but not limited to medical, financial and personal information. This would include any

such information that may be communicated during or pursuant to the Wellness Program I

engage in-person or online or by similar electronic, video, or digital means. I acknowledge that I

have responsibility to protect and prevent the disclosure of any such information.

 

I understand I am required to make my payments up front and keep a card on file to use for

future consultations.

 

I have read and fully understand and agree to the above terms of this Agreement

and Release of Waiver of Liability. 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 Illinois.

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