By submitting this form hereby agree to the following:
1. That I am participating in the yoga classes or workshops offered by Cora Wen during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which 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 this
yoga class. I represent and warrant that I am physically ﬁt and have no medical condition that would prevent my full
participation in the yoga class, health programs or workshops.
3. In consideration of being permitted to participate in the yoga class or workshops, 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
4. In further consideration of being permitted to participate in the yoga classes or workshops, I knowingly, voluntarily
and expressly waive any claim I may have against Cora Wen or the owner or leaseholder of the building for injuries or
damages that I may sustain as a result of participating in the program.
5. I, my heirs, or legal representative of such forever release, waive, discharge and covenant not to sue Cora Wen or
the leaseholder or owner of the building for any injury or death caused by their negligence or other acts.