That I am participating in the yoga or movement classes, health programs, trainings (YTT), workshops, retreats or services offered by MOMENTUM, Anne-Tyler Harshbarger, E-RYT 500 during which I will receive information and instruction or other services offered pertaining to yoga, meditation, dance, energy healing, sound healing, health practices, and other applicable life skills. I recognize that yoga/dance, requires physical exertion which may be strenuous and cause physical injury, and I am fully aware of the risks and hazards involved.
I understand that it is my responsibility to consult with a physician prior to and regarding my participation in yoga/dance classes, health programs, workshops, or services.
In consideration of being permitted to participate in or receiving services, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in classes or services.
In further consideration of being permitted to participate in yoga/dance classes, I knowingly, voluntarily and expressly waive any claim I may have against MOMENTUM, Anne-Tyler Harshbarger, E-RYT 500 for injury or damages that I may sustain as a result of participating in the classes or from receiving any services.
I, and my heirs or legal representatives, forever release, waive, discharge and covenant not to sue MOMENTUM, Anne-Tyler Harshbarger, E-RYT 500 for any damage or loss caused by their negligence or other acts, including accidental death.