Consent and Release Form - I hereby agree to the following: I am participating in a yoga retreat (“Retreat”) taught by Donny Starkins (“Teacher”), during which I may receive information and instruction about several topics, including physical movement, exercise, health, nutrition and/or spirituality. I recognize that some of these activities require physical exertion, which may be strenuous and could cause physical injury, and I am fully aware of the risks and hazards involved.
I understand and fully accept that it is my responsibility to consult with a physician prior to and regarding my participation in this Retreat. I certify that I am physically fit and I have no physical, mental, medical or emotional illness or condition, or take any medication or drug, that would prevent my full participation in this Retreat.
In consideration of being permitted to participate in this Retreat, I hereby assume full responsibility for any risk, injury or damage that I may sustain as a result of my participation in, or any instruction received during, any session of the Retreat. Further, on behalf of myself, as well as my heirs, beneficiaries and/or legal representatives, I hereby knowingly, voluntarily and expressly waive any claims I may have against, and forever release, waive, discharge and covenant not to sue, the Teachers, as well an any landlord, host or sponsor at any location where this Retreat is taught, in connection with any injury, death, loss or damages that I may sustain as a result of participating in the Retreat.
It is specifically understood that the Teachers, as well an any landlord, host or sponsor at any location where this Retreat is taught, shall not be responsible or liable for any of my personal property which may be damaged, lost or stolen.
In the event of any dispute between me and the Teachers, and/or any other third party relating in any way to this release agreement, I agree that venue for any legal action or proceeding shall take place exclusively in the federal and state courts located in Maricopa County, Arizona, which shall be deemed a convenient forum, and I hereby submit to the personal jurisdiction of such court(s). I also agree that any such dispute shall be governed by and construed in accordance with the laws of the State of Arizona, excluding any choice of law rules.
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.
