Denver, CO Retreat Registraiton
Sept 9-11th, 2022

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.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that DONNY STARKINS has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that DONNY STARKINS can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.
I voluntarily seek services provided by DONNY STARKINS and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold DONNY STARKINSharmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from DONNY STARKINS. I understand that this release discharges DONNY STARKINS from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from DONNY STARKINS. This liability waiver and release extends to the salon together with all owners, partners, and employees.