Assumption of Risk Form

Communicable Disease/COVID-19

Release of Liability and Assumption of Risk Agreement

You must submit a completed liability form to participate in any studio yoga class or event with Monica.

Liability Waiver

In consideration of being allowed to participate in Monica Motley Yoga classes, events, or activities, I acknowledge, appreciate, and agree that:

I am aware there are risks to me of exposure to directly or indirectly arising out of, contributed to, by, or resulting from an outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or variation thereof.

Participation in Monica Motley Yoga classes, events, and activities involves the potential exposure to, and illness from infectious, communicable diseases, including COVID-19. While following Federal and State guidelines, procedures in place may reduce the risk, THE RISK OF SERIOUS ILLNESS AND DEATH DOES EXIST. Monica Motley Yoga and Monica Motley CANNOT, AND DOES NOT GUARANTEE, WARRANT, OR REPRESENT THAT PARTICIPANTS WILL NOT CONTRACT A COMMUNICABLE DISEASE, INCLUDING BUT NOT LIMITED TO COVID-19, AS A RESULT OF PARTICIPATION IN ITS CLASSES, EVENTS, OR ACTIVITIES.

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, HOLD HARMLESS, AND FOREVER DISCHARGE Monica Motley Yoga, Monica Motley, and any other teacher affiliated with Monica Motley Yoga, from any and all claims, demands, losses, liability, rights, or causes of action of whatsoever kind arising out of, or in any way connected to or related to any ILLNESS, INJURY, DISABILITY, DAMAGES OR DEATH I may suffer or sustain as a result of my participation in Monica Motley Yoga classes, events or activities, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY ACCEPTING IT, ACKNOWLEDGE THAT IT CONSTITUTES A BINDING AGREEMENT AND PROMISE, AND ACCEPT IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

First Name

Last Name

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 hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Monica Motley Yoga and Monica Motley or any teacher affiliated with Monica Motley Yoga.

Date

Initials

If registrant is under 18, a legal guardian’s authorization is require. As the legal guardian of registrant, I consent to the above terms and conditions.

Minor Registrant

Legal Guardian

Thank you for submitting!