Name *

First Name

Last Name

Phone *

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

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Assumption of Risk & Health Warranty *

Here's your updated text with "retreat" in place of "teacher training": Yoga is an individual experience, and I understand that I should progress at my own pace while participating in the physically active portions of any Eclipse Power Yoga Retreat. If at any point I feel injury, overexertion, or fatigue, I will respect my own body's limitations and rest before continuing Yoga or any other exercise. I will take care of my body and do my best to remain healthy. I acknowledge that participation in any Eclipse Power Yoga Retreat naturally involves the possibility and risk of injury to me. I further acknowledge that specific risks include injuries resulting from over-exertion, physical adjustment, improper or negligent use of equipment, failure to follow instructor instructions, or injuries resulting from participation in an inappropriate level of physical exercise. As such, I understand and voluntarily accept these risks. I represent that I am in good health, at least 18 years of age, have the necessary current medical approval to engage in physical exercise, yoga classes, and retreats, and have no disability, impairment, injury, disease, or ailment that would cause risk of injury or adverse health consequences as a result of engaging in physical exercise and yoga classes during the retreat. I acknowledge that the facility where I am attending the retreat and Eclipse Power Yoga are relying on this representation and understand that neither the facility nor Eclipse Power Yoga will investigate or certify my health or fitness to participate in physical exercise and yoga classes during the retreat.

Agree

Release & Waiver of Liability

I agree to take classes/workshops/virtual classes/retreats 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.

Agree

Cancellation Policy

30 days prior to retreat: Full refund less $500 non-refundable deposit 14-29 days prior to retreat: 50% refund less $500 non-refundable deposit Less than 14 days prior to retreat: No refund. If paid in full, a credit in the amount of your tuition, not including the $500 non-refundable deposit, will be applied to your account.

Agree