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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, slips or falls, and other injuries that may result from participating in classes, private sessions, or related activities.

 

I acknowledge that I am voluntarily participating in fitness instruction provided by Polly Serpell (or an employee instructor under PollyForm), mobile teachers operating without liability insurance.

 

I understand that classes may take place at various locations, including private homes, beaches, parks, or other spaces where conditions are outside of the instructor’s control.Health and Medical Condition

 

I confirm that I am physically fit and have no medical condition that would prevent my full participation in fitness activities.

 

I agree to inform the instructor of any injuries, illnesses, 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.

 

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:

 

1. Assume all risks associated with participation in exercise and related activities, whether arising from negligence, facilities, location, equipment, or otherwise.

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2. Release and discharge PollyForm, their agents, contractors, and representatives 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.

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3. Agree not to bring any legal claim or proceeding against PollyForm 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.

 

Personal Property

 

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

 

PollyForm will not be held liable for lost, stolen, or damaged property.

 

Photography & Media Release

 

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

 

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 the instructor for negligence or other claims.