Informed Consent to Participate in Classes / Activities

I understand that yoga and all activities and instruction provided at Regan Galicia include, but is not limited to, physical movements, stretching, breathing exercises, strengthening exercises, meditation techniques, and hands-on physical adjustments for the purpose of improving alignment or understanding of movement; and that I/my child may decline any of these options at my/my child’s own choosing. I agree to this release of claims and waiver of liability and assume full responsibility for any injury, damage or loss, which may result from participation in classes. I understand that yoga may involve a high level of both physical and emotional exertion, and as such, participation in yoga classes involves inherent risks and may result in accident or injury.

I understand that it is my responsibility to consult with a physician/my child’s physician prior to and regarding my participation in any physical activity. I represent and warrant that I am/ my child is physically fit and able to participate and have no medical conditions that would be exacerbated by the practice of yoga or other activities. Should my/my child’s medical condition at any time change in any way which would prevent safe participation in any of the Activities, I choose/ my child chooses to attend, I agree to immediately discontinue attending classes and to consult with my physician/ my child’s physician about continuing or resuming participation in the practice of yoga. I understand that Regan Galicia will not suggest any medical advice or treatment to any participants, as only licensed professionals are qualified to give medical advice. I have been advised and understand that yoga classes and other activities may include postures and cardiovascular activity that can be categorized at different levels from beginner through advanced, and I understand that I am responsible for all of my actions in class and determining the level of exertion that is appropriate for me/ my child.
If I/my child experience pain, discomfort, excessive fatigue or overexertion or sustains an injury outside of the studio, I/my child will notify the instructor.

I understand that Regan Galicia from time to time may record the audio of Activities and place such audio recordings for access by other students who have registered for the class. I hereby consent to the audio recording and use of the recording as described.

Yoga classes and activities are no substitute for medical care and offers no health warranties or guarantees of any kind. I agree on behalf of myself (and my personal representatives, heirs executors, administrators, agents and assigns), to the maximum extent permitted by applicable law, to release and discharge Regan Galicia (and our affiliates, employees, agents, representatives, successors and assigns) from any and all claims or causes of action (known and unknown) arising out of my own or her acts or omissions, including negligence. I acknowledge I have carefully read this form and release Regan Galicia of all liabilities. I understand that I am agreeing to waive any right I may have to bring legal action to assert claim against Regan Galicia. I am signing this agreement voluntarily and recognize that by checking the box “Agree” & submission of this form serves as a complete and unconditional release of all liability.