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Yoga, Meditation, Reiki Class or Service Liability Release

I hereby agree to the following:

  • I understand that I am participating in Yoga, Meditation and/or Reiki classes or services and instruction offered by Dora Chan Yoga. I recognize that Yoga may require physical and mental exertion that can be strenuous, and I am fully aware of the risks and hazards involved. I understand that Yoga, Meditation and/or Reiki programs may release strong emotions and I accept this possibility and the result of such emotional release.

  • I acknowledge that there are risks and dangers that cannot be eliminated in this work, and even if a risk or danger could have been eliminated, this does not always occur.

  • I represent and warrant that I am physically fit and have no medical condition that would prevent my full participation in Yoga, Meditation and/or Reiki programs. I will advise Dora Chan Yoga instructors of any and all physical and emotional conditions that could be affected by Yoga, Meditation, Reiki and Dora Chan Yoga offerings. 

  • I agree to follow instructions carefully and to immediately stop any activity that causes me any unacceptable discomfort, emotional distress or pain. I will report this to the instructor during and at the end of the program. 

  • I understand that certain classes or sessions may include group discussions where participants may share personal and/or sensitive information. I agree to respect the privacy and protect confidentiality of everyone involved in these sessions. 

  • In consideration of being permitted to participate in Yoga, Meditation and Reiki programs with Dora Chan Yoga, I agree to assume full responsibility for all risks, injuries or damages, known or unknown that I might incur as a result of participating in such activities.

  • I understand that Yoga, Meditation and Reiki may produce a deep state of relaxation that can continue for many hours after the program is complete. I acknowledge that I may need to refrain from driving a vehicle after a Yoga, Meditation or Reiki session, until I feel capable of responding to the situations that may arise while driving. 

  • The Practitioner is a mentor and guide, who have been trained in Yoga, Meditation, Reiki, Nutritional and Lifestyle Counseling to help clients achieve their optimum health. You understand that unless specifically specified herein, or in another agreement, the Practitioner is not acting in the capacity of a doctor, licensed dietician, psychologist, legal or financial advisor, or other licensed or registered professional, and that any advice given by the Practitioner is not meant to take the place of advice by these professionals. You have chosen to work with the Practitioner and understand that unless specifically licensed to do so by the proper licensing board/authority, the Practitioner is not licensed or trained to provide medical diagnoses, legal or financial advice. No information received from the Practitioner should be construed as a medical, legal or financial opinion or recommendation.

  • I release the instructor, substitute instructors, assistants, facility, Dora Chan Yoga and its directors, officers, advisors and employees (referred to as ‘Providers’) from all actions, causes, claims, suits, damages and liabilities arising out of, or connected with, my participation in Yoga, Meditation, Reiki and Dora Chan Yoga programs including, but not limited to, personal physical, mental or emotional injury, illness (including death) and/or loss of property. I agree to indemnify and hold harmless all of the Providers. 

  • I, my heirs, assigns, legal representatives and spouse, if any, forever release, waive, discharge and agree not to sue any of the Providers for any injuries or damages I may sustain. 

  • I waive and release any rights I may have under California Civil Code §1542, which states as follows: “A general release does not extend to claims which the creditor [student] does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her, must have materially affected his or her settlement with the debtor [Providers].” 

  • I agree that this waiver will be interpreted, as broadly as allowed by law, and that if part of this waiver is deemed invalid then the balance shall remain in effect. 

  • I freely and voluntarily agree to these terms and conditions even though I would not be able to participate without signing this waiver. I assert that my participation and signing is voluntary and that I assume all risks.

COVID Waiver

While participating in in-person classes or events held or sponsored by Dora Chan Yoga (DCY), consistent with CDC guidelines, participants are encouraged to practice hand hygiene, “social distancing” and wear face coverings to reduce the risks of exposure to COVID-19. DCY cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19.

On behalf of myself, and any of all of my family members, minor child(ren), my heirs, successors, assigns and personal representatives and each of them, having voluntarily and knowingly entered into Dora Chan Yoga Events, I hereby forever release and waive my right to bring suit against Dora Chan Yoga, its owners, officers, directors, managers, officials, trustees, agents, employees, affiliates and or other representatives (released parties) in connection with any and all exposure, infection, and/or spread of COVID-19 related to me and/or my child(ren) entering into Dora Chan Yoga Events. I understand that this waiver and release means that I have forever discharged the released parties and give up all of my right to bring any claims, actions, lawsuits, demands for damages and or losses, including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I or my child(ren) may have to seek damages, whether known or unknown, foreseen or unforeseen to the maximum extent allowed by law.

In the event of an emergency, please contact the following person(s) in the order presented:

By entering your name in the field provided you agree to all the above

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