CLASSES

Release & Waiver

Please fill out this short release and waiver form. If you are under 18, your parent or legal guardian will need to fill
out the paper form. Click here for the PDF Release and Waiver of Liability form.

* Required fields

Name*

Birthdate*

Mailing address*

City*

State*

Zip*

Email Address*

Phone*

Work Phone

Emergency Contact*

Relationship*

Emergency Contact Phone*

How did you find out about True Nature?

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What classes are you interested in?

Children’s ClassesHealth & NutritionMeditation WorkshopsYogaOther:

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Please note any specific health concerns:

RELEASE AND WAIVER OF LIABILITY

By my signature hereunder, I enter the Yoga class (“Class”), held at True Nature Healing Arts® (“The Studio”). I understand there are obvious known dangers inherent in the activities in the Class, and I affirm that I am in proper physical condition to participate in this Class. I know that I am held to understand and appreciate the dangers of participating in this class, and I voluntarily assume these risks.

Based upon my representation that I am in proper physical health and conditioning to participate in this Class, I agree:

1. To assume all risk of injury to myself and all risk of damage to and loss of my property arising out of my participation in this Class;

2. To release and forever discharge the Studio, its officers, employees, agents and students from any and all liability for any injury, including death, and for property damage or loss which may be suffered by me, arising out of or in any way connected with my participation in this Class; and,

3. For myself, my heirs, executors, administrators, and assigns, to indemnify and holdharmless the Studio, its officers, employees, agents and students from any and all liability, claims, demands, actions, loss and damage arising out of my participation in this Class.

By submitting this form, I state that I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and the Studio, and I sign it of my own free will.

By typing my full name below, I am electronically signing this form and understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Signature* (type your full name)

Date* (mm/dd/yyyy)