Agreement of Release and Waiver of Liability
I recognize that the practice of yoga may at times be strenuous and require physical exertion and
movement that may involve a risk of physical injury. I have no medical condition which will prevent my
full participation in the yoga movement class or special event.
I understand that I am responsible for judging my own physical capabilities and limitations and that it is
my responsibility to determine that there is no physical or mental limitation to prevent my practice of
I agree to take full responsibility for not exceeding my physical capabilities and limitations during my
practice of yoga and if I exceed those limits, I agree to take full responsibility for any injury I may suffer
during my practice of yoga. I agree that it is my responsibility to notify the instructor of any physical
injury or other condition affecting my ability to practice yoga and that I will inform the instructor
immediately if any injury does occur during class.
I also understand that my participation in class presents a risk of contracting the COVID-19 virus. Should
I, or any other person(s) in the class(es) I attend test positive for COVID-19, I understand that the entire
class will be notified and in such case I agree not to return to class until all quarantine protocols put forth
by the state of California have been met.
I agree to stay home if I’ve had any of the following symptoms 3-days prior to the class time: cough,
shortness of breath, difficulty breathing, fever or chills, muscle or body aches, sore throat, headache,
nausea or vomiting, diarrhea, runny or stuffy nose, fatigue, or recent loss of taste or smell.
I agree to stay home if, I the 14-days prior to class time, I have: been in close contact (less than six feet)
with anyone with COVID-19 or symptoms of COVID-19; traveled anywhere outside the 50 United
States; have returned to CA from a state that currently has a stay-at-home, shelter-in-place or similar
restriction, declaration, or announcement due to a COVID-19 outbreak.
I will assume full responsibility for any risks, injuries, or damages, known or unknown, which I might
incur as a result of participating in any yoga movement class or special event. I hereby waive and release
any claim that I may have at any time for injury of any kind against Sophia Ludyjan, Shanti Kitti Yoga, or
any person or entity involved therewith, including but not limited to its principals, instructors, employees,
agents and representatives.
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