Urban Yoga Spa - Waiver


Please list any conditions, ailments, injuries or any other information you would like the instructor to be aware of:   

Emergency Contact: Phone:   

Release of Liability Agreement The undersigned, his/her representatives, hereby assumes all risk of and releases, waives and indemnifies Urban Yoga Spa and its directors, employees, instructors and other closely related affiliates from and against any and all damages, losses, actions and causes of action for injury, illness, and/or damage arising from or related in any way to any appointments, services and treatments obtained from or through the Urban Yoga Spa. I understand that classes at Urban Yoga Spa require physical exertion and may be strenuous. I FULLY UNDERSTAND THAT THIS IS A RELEASE AND WAIVER OF LIABILITY AND ASSUME FULL RESPONSIBILITY FOR ANY RISKS, INJURIES OR DAMAGES THAT I MAY INCUR AS A RESULT OF PARTICPIATING IN THE PROGRAM.

Signature Certificate
Document name: Urban Yoga Spa - Waiver
Unique Document ID: b71a241ca6707d4ac3b1036bc1a95e4f59035816
Timestamp Audit
2015-11-28 10:28:38 PDTUrban Yoga Spa - Waiver Uploaded by Andrew Hirsch - info@urbanyogaspa.com IP 172.56.41.0