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URBAN YOGA Waiver
HEALTH DECLARATION FORM

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY

Have you practiced yoga before?
Do you have any physcial limitations/injuries?
Have you or anyone you live with, arrived in Hong Kong from overseas in the past 14 days or in close contact with someone who is on Mandatory Home Quarantine?
Are you currently experiencing fever or respiratory symptoms (cough, sore throat, runny nose, flu, shortness of breath etc.) in the past 14 days?

By submitting this form, you will be agreed to the following:

 

  1. That I am participating in the Urban Yoga classes ("classes") which I will receive information and instruction about yoga. I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
     

  2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the classes. I confirm that I am physically fit and I have no medical condition that would prevent my full participation in the yoga classes.
     

  3. In consideration of being permitted to participate in classes, 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 the program.
     

  4. In further consideration of being permitted to participate in classes, I knowingly, voluntarily and expressly waive any claim I may have against the instructor for injury or damages that I may sustain as a result of participating in the program.
     

  5. I, my heirs or legal representatives forever release waive, discharge and covenant not to sue the instructor for any injury or death caused by their negligence or other acts. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

Thanks for submitting!

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