TERMS AND CONDITIONS
RELEASE AGREEMENT AND WAIVER OF LIABILITY
Healing Spaces: Sacred Self-Care & Reiki Retreat
RELEASE AGREEMENT AND WAIVER OF LIABILITY
Healing Spaces: Sacred Self-Care & Reiki Retreat
Please read carefully. Submission of the registration form and payment of the required deposit represent acceptance of the following terms and conditions. I hereby agree to the following:
1. That I am participating in this Retreat, Yoga Classes/Instruction, and Reiki, as well as other exercise fitness routines, Health Programs, &/or Workshops/Retreats offered by The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500 (herein referred to as The Healing Arts Center of Richmond) during which I will receive information and instruction about yoga, fitness, and health. I recognize that yoga, and other exercise fitness routines require physical exertion that 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 Retreat, Yoga Classes/Instruction, and Reiki, as well as other exercise fitness routines, Health Programs, &/or Workshops/Retreats offered by The Healing Arts Center of Richmond. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats. I understand that it is my responsibility to update this waiver with regard to any health condition changes that I experience in the future.
3. In consideration of being permitted to participate in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of my participation.
4. In further consideration of being permitted to participate in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats, I knowingly, voluntarily, and expressly waive any claim I may have against The Healing Arts Center of Richmond for injury or damages that I may sustain as a result of participating in the program, and as a result of my negligence in participating in this activity.
5. I understand that complementary therapies including Yoga, Reiki, and GIM (The Bonny Method of Guided Imagery & Music), like other healing arts, are not exact sciences and that no guarantees are being made as to the result of their use and practice.
6. I, my heirs, and/or legal representatives, forever release waive, discharge and covenant not to sue The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500 for any injury or death caused by their negligence or other acts.
I have read the above terms and conditions, and release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. I realize there are special risks that could be associated with pregnancy, prior surgeries, injuries, and medical conditions that may carry additional health concerns. I have discussed these with my personal physician, and I have obtained my physician’s concurrence to participate in activities offered by The Healing Arts Center of Richmond. I fully understand that The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500, instructors and staff are not medically trained physicians or experts in medicine, and therefore, realize that their guidance is limited to the practice of yoga and fitness exercise, reiki, and the techniques and routines associated with them and within their scope of practice.
This agreement shall be governed by the laws of the Commonwealth of Virginia.
I am not relying on any oral, written, or visual representations or statements made by The Healing Arts Center of Richmond, including brochures or promotional materials to induce me to participate in this activity.
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.
1. That I am participating in this Retreat, Yoga Classes/Instruction, and Reiki, as well as other exercise fitness routines, Health Programs, &/or Workshops/Retreats offered by The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500 (herein referred to as The Healing Arts Center of Richmond) during which I will receive information and instruction about yoga, fitness, and health. I recognize that yoga, and other exercise fitness routines require physical exertion that 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 Retreat, Yoga Classes/Instruction, and Reiki, as well as other exercise fitness routines, Health Programs, &/or Workshops/Retreats offered by The Healing Arts Center of Richmond. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats. I understand that it is my responsibility to update this waiver with regard to any health condition changes that I experience in the future.
3. In consideration of being permitted to participate in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of my participation.
4. In further consideration of being permitted to participate in this Retreat, Yoga Classes/Instruction, and Reiki, as well as exercise fitness routines, Health Programs &/or Workshops/Retreats, I knowingly, voluntarily, and expressly waive any claim I may have against The Healing Arts Center of Richmond for injury or damages that I may sustain as a result of participating in the program, and as a result of my negligence in participating in this activity.
5. I understand that complementary therapies including Yoga, Reiki, and GIM (The Bonny Method of Guided Imagery & Music), like other healing arts, are not exact sciences and that no guarantees are being made as to the result of their use and practice.
6. I, my heirs, and/or legal representatives, forever release waive, discharge and covenant not to sue The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500 for any injury or death caused by their negligence or other acts.
I have read the above terms and conditions, and release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. I realize there are special risks that could be associated with pregnancy, prior surgeries, injuries, and medical conditions that may carry additional health concerns. I have discussed these with my personal physician, and I have obtained my physician’s concurrence to participate in activities offered by The Healing Arts Center of Richmond. I fully understand that The Healing Arts Center of Richmond, PLLC/Katherine Meyersohn, LCSW, RYT-500, instructors and staff are not medically trained physicians or experts in medicine, and therefore, realize that their guidance is limited to the practice of yoga and fitness exercise, reiki, and the techniques and routines associated with them and within their scope of practice.
This agreement shall be governed by the laws of the Commonwealth of Virginia.
I am not relying on any oral, written, or visual representations or statements made by The Healing Arts Center of Richmond, including brochures or promotional materials to induce me to participate in this activity.
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.