Kushala Yoga Waiver

To ensure your safety and that of all those attending, we require that all clients sign this Acknowledgement, Assumption of Risks and Waiver and Release of Claims Agreement prior to engaging in any activities at Kushala Yoga (the “Facilities”), including yoga and pilates classes, courses, special events and teacher training programs, and the use of any of the facilities and equipment and other services offered by Kushala Yoga (the “Services”).
PLEASE READ THE BELOW CAREFULLY, COMPLETE AND SIGN THIS DOCUMENT:

COVID-19 WAIVER

  • I am not currently experiencing COVID-19 symptoms nor have I experienced COVID-19 symptoms in the last 14 days.
  • I have not travelled outside of Canada or in an area under a travel health advisory in the last 14 days.
    I have not provided care or had close contact with any person:

    • with COVID-19;
    • reasonably suspected of having COVID-19;
    • who travelled outside of Canada in the last 14 days; or
    • who travelled in an area under a travel health advisory in the last 14 days.
  • I have not been advised by the Government of Canada, British Columbia Provincial Health Services Authority (or a similar public health authority or government health website), the Provincial Health Officer a doctor or a health care worker to self-isolate due to possible exposure to COVID-19.

ASSUMPTION OF RISK AND INFORMED CONSENT

I hereby acknowledge that:

I am fully aware of the risks and hazards with respect to COVID-19 inherent in my attendance at the Facilities and participation in the Services.

I freely accept and fully and voluntarily agree to assume, without qualification or limitation, the risks with respect to COVID-19, including, but not limited to, the risk of illness, bodily injury, death, property damage or loss, that I may sustain as a result of my participation in the Services or attendance at the Facilities, howsoever arising, including, but not limited to, the active or passive negligence of Kushala Yoga, and each of its current or future directors, officers, employees, agents and representatives (all of whom are hereinafter collectively referred to as the “Releasees”).

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of Kushala Yoga allowing my access to and use of the Facilities and participation in the Services, and for other good and valuable consideration, I hereby agree:

To waive any and all claims that I have or may in the future have against the Releasees and to release the Releasees from any and all claims and liability (except as prevented by statute) arising from any injury, including death, loss, damage, cost or relief of any kind due to or associated with COVID-19 whatsoever, including claims resulting from, arising out of, or in any way connected with (i) attendance at the Facilities, (ii) the use of the Services, (iii) the negligence, gross negligence, or breach of contract on the part of the Releasees, and (iv) the breach of any statutory or other duty of care on the part of the Releasees, including any duty of care owed under the Occupiers Liability Act, R.S.B.C. 1996, c. 337.

To hold harmless and indemnify the Releasees from any and all claims or liability for any damage to property of, or personal injury to, any third party, due to or associated with COVID-19 resulting from my attendance at the Facilities, condition or use of any Services, or participation in Kushala Yoga’s activities of any kind.

This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives in the event of my death or incapacity.

CLIENT DECLARATION

By clicking on the checkbox below, labelled "Confirm Your Agreement", and "Submit", I hereby declare that I have:

  • Read this document thoroughly and I understand that, by signing it, I WAIVE AND GIVE UP IMPORTANT LEGAL RIGHTS which I or my heirs, next of kin, executors, administrators and assigns may have against the Releasees. I have been afforded a full and unconstrained opportunity to withdraw from participating in or receiving the Services, should I not wish to assume all of the dangers and risks associated with it, but I have freely and voluntarily elected to assume all of these dangers and risks, to give up important legal rights as set out in this document, and to participate in and receive the Services. In entering into this Agreement, I am not relying upon any oral or written representations or statements of any kind made by the Releasees other than what is set forth in this Agreement.
  • The information provided by me on this form is true and accurate and that I am 19 years of age or older. (If under the age of 19, a parent or legal guardian must fill out this agreement on your behalf.)

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