Acknowledgement of Risk

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I, the undersigned participant, understand that participation in PollyForm services including yoga, breathwork, meditation, fitness, stretching, and wellness activities involves inherent risks, including but not limited to: physical exertion, muscle strain, sprains, slips or falls, and other musculoskeletal injuries; heat-related illness, including dehydration, dizziness, lightheadedness, fainting, heat exhaustion, and heat stroke, whether arising from a heated room, an outdoor environment, or a class format designed to build internal body heat (such as a 26 & 2 style practice), regardless of whether the room itself is artificially heated; exposure to natural elements when practicing outdoors, including sun, UV exposure, sunburn, humidity, wind, rain, insects, uneven or unstable terrain, and limited access to shade, water, or immediate medical assistance; and other injuries that may result from participating in classes, private sessions, or related activities.

I acknowledge that I am voluntarily participating in instruction provided by the Released Parties (defined below), mobile and studio-based instructors operating without liability insurance.

I understand that classes may take place at various locations, including private homes, beaches, parks, studios, or other outdoor/indoor spaces, and may include heated or heat-building class formats, where conditions, weather, temperature, and terrain are outside of the Released Parties' control.

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Health and Medical Condition

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I confirm that I am physically fit and have no medical condition that would prevent my full participation in fitness activities, including heat-building or outdoor class formats.

I agree to inform the instructor of any injuries, illnesses, heat sensitivity, or physical conditions before beginning any session.

I understand that fitness instruction is not a substitute for medical advice, diagnosis, or treatment, and I am responsible for consulting a qualified medical professional before participating if I have any concerns, including any concerns about participating in heat-building or outdoor formats.

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Assumption of Risk and Release of Liability

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In consideration of being permitted to participate in fitness sessions with PollyForm, I hereby knowingly and voluntarily:

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1. Assume all risks associated with participation in exercise and related activities, including outdoor and heat-building class formats, whether arising from negligence, facilities, location, weather, equipment, or otherwise.

2. Release and discharge the Released Parties from any and all claims, liabilities, demands, or causes of action that may arise from any injury, loss, damage, or death sustained as a result of participation.

3. Agree not to bring any legal claim or proceeding against any of the Released Parties in connection with any such injury, loss, or damage.

4. Accept full responsibility for any injuries or damages that may occur during or after participation in fitness sessions.

 

For purposes of this Agreement, "Released Parties" means PollyForm, Polly Serpell, and any instructor, employee, contractor, or agent who provides instruction on behalf of PollyForm, whether now engaged or engaged in the future, whether in a group class, workshop, or private session, and regardless of the billing or invoicing arrangement between PollyForm and that instructor.

 

Personal Property

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I acknowledge that I am responsible for any personal belongings brought to a session.

The Released Parties will not be held liable for lost, stolen, or damaged property.

 

Photography & Media Release

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By agreeing to this form, I consent to the use of photos or videos taken during sessions for promotional purposes. If I choose to opt out, I recognize that it is my responsibility to inform PollyForm of this preference before attending the service.

 

Final Agreement

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I have carefully read this waiver, fully understand its contents, and voluntarily agree to its terms. I understand that by signing this document, I am giving up certain legal rights, including the right to sue any of the Released Parties for negligence or other claims.

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