Private and Group Lesson Form Name * First Name Last Name Phone (###) ### #### Phone (###) ### #### Is this a Private or Group Lesson? * Private Lesson Small Group Lesson Celebration/Occassion Lesson What would you like to get out of your Private or Group Lesson? * Provide three (3) dates and times you would like for your Private or Group Lesson: * Payment + Cancellation Policy * PAYMENT POLICY: Private or Group lessons must be paid in full prior to the lesson start date. CANCELLATION POLICY There is a 24-hour cancellation policy if you can no longer attend your private session. If your session is canceled 24 hours in advance, we can reschedule your lesson. Please call or text to notify us of your cancellation: Call or text: 509.779.6836 If the cancellation occurs within 24 hours of the scheduled lesson time, that session can not be rescheduled, and your payment is forfeited. Agree Liability Waiver * I agree to take classes/workshops/virtual classes at Eclipse Power Yoga and I accept full responsibility for performing only those movements and activities that support and do not jeopardize my health and well-being by participating in these classes. I understand that fitness classes and workshops carry a risk of injury as does all physical activity and sign this waiver of liability in agreement that I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in any programs. In further consideration of being permitted to participate in the Fitness Class/Workshop/or other events, I knowingly, voluntarily, and expressly waive any claim I may have for Eclipse Power Yoga and its affiliated instructors for any injury or damages that I may sustain as a result of participating in the program. I understand that upon entering any public building, there are risks, and I will not hold Eclipse Power Yoga liable for any harm or injury obtained to me in or around the perimeters by any type of scenario within or outside the class I am attending. I understand that Eclipse Power Yoga is a public facility in which airborne viruses may be present. I agree that I will not hold Eclipse Power Yoga liable for any illness which may be contracted by visiting a public facility and being in proximity with others, and for any allergic reactions to airborne remnants of cleaner within the studio. I understand that both Eclipse Power Yoga and its affiliated instructors are not diagnosing, prescribing, or treating. I agree to consult a doctor or medical professional about a state of pathology, dysfunction, or pain, and to advise my instructors about such concerns. I understand that prior to beginning any exercise routine; I should consult with a medical professional. I also understand I am responsible for the security of my belongings and should keep any valuables with me at all times or should not bring them into the studio. I, my heirs and/or legal representatives, forever release, waive and discharge eclipse power yoga, and its representatives or agents, from any and all claims whatsoever, whether in tort, theft, negligence, intentional, reckless and/or any other claim whether known or unknown. 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. I understand and agree to the above liability terms and conditions. Thank you!