Name *

First Name

Last Name

Emergency Contact *

First Name

Last Name

Emergency Contact's Phone Number *

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Please read carefully, understand fully, and ask Carolyn questions if anything is unclear. We are here to support you and ensure your safety. It is important that you understand this waiver as you will be signing away legal rights and agree to be bound by all the terms of this agreement.

Yoga, Meditation, Breathwork, and similar Classes: *

This may include, but is not necessarily limited to: flexibility training in the form of yoga positions, body weight exercises, strength exercises, mobility, range of motion exercises, acrobatics, Thai massage, therapeutic flying, partner yoga, breathing, pranayama, meditation exercises, and relaxation exercises. The consistent element in all of these movements is that the activities involve stretching and performing yoga poses and some may involve receiving adjustments from Carolyn.

I AGREE

Relating to Yoga and Breathwork: *

Risks of injuries include, but are not limited to: muscle tears, muscle strains and other musculoskeletal injuries, sprains, broken bones, cardiovascular complications, dizziness, and fainting. You will progress at your own pace and will listen to your body. If at any point you feel overexertion, pain or fatigue, you will respect your body and take rest. You must always be in communication with Carolyn if anything feels or seems off in your body or mind.

I AGREE

Relating to Cold Plunging: *

Which involves immersing oneself in cold water, can be physically and mentally challenging and may pose risks, including but not limited to hypothermia, shock, and other health-related issues. By participating in cold immersion with Carolyn, you voluntarily assume all risks associated with cold plunging activities.

I AGREE

Affirmation of Health: *

Before participating in any Activities or Cold Plunging, you swear that you have sought medical clearance regarding your fitness to practice yoga, meditation and/or breathwork. Any such medical clearance must be that you are fit to participate in the Activities safely. If you have not sought such clearance, you must be certain that your medical and fitness levels are sufficient to participate in the Activities. This is not a medical or therapeutic program. Carolyn is not a medical professional. You should consult with a qualified healthcare provider if you have underlying health conditions. At any point, if you do not feel well during a yoga class or during any other activities, we insist you rest and communicate any problems to Carolyn or other affiliates.

I AGREE

Voluntary Assumption of Risk: *

You have read this Waiver and understand the risks of participating in the Activities with Carolyn Anne Budgell. Your signature below, and your participation in the Activities with Carolyn, illustrates your voluntary participation, awareness of the risks, and the assumption of the risks of doing so.

I AGREE

Release, Waiver and Indemnity: *

You hereby release Carolyn Anne Budgell, directors, contractors, employees, volunteers, agents, executors, administrators, successors, family members and assigns (the "Released Parties") from any liability and damages arising from personal injuries or death, however caused, including out of negligence, during your participation in the Activities with Carolyn. You are releasing the Released Parties at your own risk and you agree to forfeit any and all forms of legal recourse which may be available to you, including, but not limited to, any form of damages as a result of your participation in the Activities. You agree that these provisions above apply to you, your family, heirs, executors or anyone else who may be able to bring a legal action on your behalf in the future.

I AGREE

Jurisdiction: *

This Waiver will be governed exclusively by the laws of the Province of British Columbia.

I AGREE

Severability: *

If any provisions of this Waiver are invalid or unenforceable, the other provisions in the Waiver will remain in full force.

I AGREE

Entire Agreement: *

This Waiver constitutes the entire agreement between the parties and replaces any prior agreements.

I AGREE

Online Agreement: *

We agree that this Agreement may be signed electronically, the effect of which will be the same as if we signed the Agreement by hand and the intention of which is that both parties desire to be bound by all the terms of the Agreement.

I AGREE