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1. Sign up for an account

2. Fill out waiver form below

3. Purchase a package

4. Sign up for a class

Waiver Form

How did you hear about Kamloops Hot Yoga?

First Name

Last Name

Phone Number

Emergency Phone Number

Email Address

Birthdate

Male or Female

Male Female

Have you practiced yoga before?

Have you practiced Hot Yoga before?

Are there any specific injuries, ailments or medications that your instructor should know about?

I ACKNOWLEDGE AND AGREE FOR MYSELF AND MY REPRESENTATIVES AND ASSIGNS TO THE FOLLOWING:

1. I am at least 19 years of age

2. That the instruction and services offered by DT Yoga Studios Ltd. dba Kamloops Hot Yoga “KHY” is limited to that of instruction in basic yoga and health.

3. I have no physical, medical or other condition that would prevent me from a safe participation in a yoga class, workshop or meditation session offered by KHY.

4. That even with clear instruction, there is a possibility of injury to myself, and that it is my responsibility to consult a physician regarding my ability to participate before attending a KHY class or instruction session.

5a. I agree for myself and my representatives to release and discharge KHY, its directors, officers, employees, instructors and agents (collectively referred to as the “Releasees” from any and all liability, claim, demand or action that I may have resulting from any injury, death or damages arising from my participation in any class or instruction session provided by KHY, including any injury, death or damages that may be caused by the negligence of the Releasees and

5b. I agree for myself and my representatives to release and discharge KHY, its directors, officers, employees, instructors and agents (collectively referred to as the “Releasees” from any and all liability, claim, demand or action that I may have resulting from the loss, theft or damage of any of my personal property on or from KHY premises.

6. I have read this agreement carefully and recognize that by signing this agreement I am affecting my legal rights.

Participant Signature

Draw It
Clear

Date

IF PARTICIPANT IS UNDER THE AGE OF 19, THE PARTICIPANT’S PARENT OR GUARDIAN MUST READ AND SIGN AS FOLLOWS:

I, (parent/guardian print your name)

am the parent/guardian of (print child’s name)

I have read the above and in consideration of KHY permitting my child to participate in a KHY class or instruction session I agree for myself and my representatives to hold harmless and indemnify the Releasees from all liability for property damage, personal injury or death suffered by my child or by a third party as a result of my child’s participation in a KHY class or instruction session whether now or in the future.

Parent’s/Guardian’s signature: