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NEW REGISTRATION & WAIVER

(Only needs to be filled out once)

 PARTICIPATION WAIVER 

Before starting any exercise program, consult with your physician to determine if you are fit for physical activity. All exercise programs carry the risk of physical injury. When participating in any activity or exercise program, use common sense and be aware of your physical limitations.

 

Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Waiver: In consideration of being permitted to participate in any way in the Qigong/Tai Chi/Exercise Program ("Activity") conducted by Innirvana LLC, I, for myself, my heirs, personal representatives, or assigns, do hereby release, waive, discharge, and covenant not to sue Innirvana LLC, its directors, officers, employees, and agents from liability for any and all claims, including the negligence of Innirvana LLC resulting in personal injury, accidents, illnesses (including death), and property loss arising from, but not limited to, participation in the Activity.

Assumption of Risks: Participation in Qigong/Tai Chi/Exercise activities carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but include: (1) Minor injuries such as scratches, bruises, and sprains; (2) Major injuries such as eye injuries or loss of sight, joint or back injuries, heart attacks, and concussions,; (3) Catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Activity I am participating in. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to indemnify and hold Innirvana LLC harmless from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, brought as a result of my involvement in the Activity and to reimburse them for any such expenses incurred.

Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of Maryland and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am consenting to the agreement freely and voluntarily, and intend for this to be a complete and unconditional release of all liability to the greatest extent allowed by law. Clicking the link below and registering for classes denotes that I hereby have in entirety read, understood, and accepted the full terms for participation, and acknowledge that I am physically fit and mentally capable of performing the physical activities I have chosen to participate in, and that I understand and willingly agree to this release of liability and its full terms.

NEW REGISTRATION

To register, please fill out the information below.

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