Informed Consent for the Class (by signing up for class you consent to the following)

1. Purpose and Explanation of Procedures

I hereby voluntarily consent to engage in a program of Yoga and to be guided in activities which are recommended to me for improvement of my health and well-being. These may include yoga postures, breathing techniques, and/or stress reduction activities. Professionally trained personnel will provide leadership to direct my activities. monitor my performance, and otherwise evaluate my effort. Depending on my health status, I may be required to have my physician provide clearance for activities at any point during my program as deemed necessary by Stacey Shulman or any substitute yoga teacher engaged by her (hereinafter collectively referred to as the “Yoga Teacher”. I understand that it is my responsibility to notify the Yoga Teacher of any previous or current medical conditions. I understand that I must immediately notify the Yoga Teacher in the event of any changes in health condition or diagnosis. I have been advised it is my complete right to decrease or stop the class or specific activities or techniques at any time and that it is my obligation to inform the Yoga Teacher of any symptoms or reactions that should develop.

2. Risks

It is my understanding and I have been informed that there exists the possibility of risks of injuries to bones, muscles, tendons, ligaments, and other parts of my body, and in this rare event, I will promptly inform the Yoga Teacher of any unusual pains or sensations. Every effort will be made by the Yoga Teacher to minimize these occurrences by assessing my condition before each session. I also understand that I am responsible for staying in tune with my own body during sessions with the Yoga Teacher and informing the Yoga Teacher should any sensations, pains, or issues arise either before, during, or after a session. I understand that there are risks associated with any physical activity, but knowing these risks, it is my desire to participate as herein indicated.

3. Inquiries and Freedom of Consent

I have been given an opportunity to ask questions as to the procedures of the class. I further understand that there are risks that may be associated with the program. Despite the fact that a complete accounting of all the risks is not entirely possible, I am satisfied with the review of these risks, and I assume all risks of my participation, known and unknown.

4. Release of the Yoga Teacher

I hereby agree to release and forever discharge the Yoga Teacher from and against any and all claims, demands, losses, costs, liabilities, debts, obligations, damages, and expenses of whatever kind of nature, known or unknown, whether or not now existing, arising with respect to injury to persons or damage to property arising out of my participation in Yoga. I acknowledge that I have read this document in its entirety. I consent to the rendition of services and procedures as explained herein and to the provision of emergency care response and CPR should it become necessary.

Waiver (by signing up for class you agree to the following)

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages, which may incur through participation. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against yoga instructor Stacey Beth Shulman. I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Georgia.