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Be Wild Yoga

Participation Agreement and Liability Waiver

Please fill out the following form in order to participate in classes and activities with Be Wild Yoga, LLC. 

I, the above named individual, hereby certify that the information above is true and complete. I agree that I am voluntarily participating in programs, activities and classes (“activities”) offered by Be Wild Yoga, LLC (“BWY” or "Be Wild Yoga"). I am in good physical health and, in consultation with my healthcare provider, have determined that I do not suffer from any medical conditions that would limit my participation in these activities. I acknowledge that my participation in virtual yoga classes is voluntary and I am responsible for providing a safe environment in which to engage in the activities and for respecting the limits of my own body and space. I acknowledge that my participation in in-person yoga classes is voluntary and I am responsible for respecting the limits of my own body and space. I agree to accept e-mails, texts, or direct messages over social media from BWY and its members. I allow BWY to use photos and/or videos of me for social media and marketing materials. I assume any and all risk for my participation in these activities and I hereby agree to hold harmless and waive any and all claims of injury and/or liability I may have at any time against Be Wild Yoga, LLC, any of its Members, agents or teachers, including, but not limited to Alexandra C. Duchesne and Casey C. Graham, and the owner or operator of any studio, facility, home or outdoor space where BWY may host classes, activities, programs or events. In consideration of my participation in the activities offered by Be Wild Yoga, LLC, I have carefully read, fully understand and voluntarily agree to all of the terms and conditions stated herein.

COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Be Wild Yoga, LLC has put in place preventative measures to reduce the spread of COVID-19, however, it is not guaranteed that you will not become infected with COVID-19. By signing this agreement, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk. To prevent and reduce risk of transmission you agree to follow all rules, guidelines, policies and procedures provided by Be Wild Yoga, which may be updated and published on our website from time to time. In addition, you agree NOT to come to any in-person activities with the following symptoms (including but not limited to): fever, shortness of breath, loss of senses of taste or smell, dry cough, runny nose, sinus pain, sore throat, upset stomach, or a positive OR pending COVID-19 test.  Live, virtual Zoom classes will continue throughout the year. If you participate in any on-line class, live-streamed class, or prerecorded video, by signing below, or by continuing to watch or participate beyond this reading, you waive any claim against Be Wild Yoga, LLC and all of its members, agents, and teachers. 


Please practice mindfully and enjoy the many benefits of practicing yoga with Be Wild Yoga, LLC  

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