• Section A: General Information

  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
  • Section B: Training you are registering for

  • Section C: Short Health Questionnaire

  • Section D: Method of Payment

  • Agreement of Release and Waiver of Liability

    Please read and sign this waiver. Electronic and typed signatures have the same force and effect as manual signatures.
  • By signing and submitting this waiver, you hereby agree to the following:

    1) That I am participating in a YBR® training class or YBR® Workshops offered by Yamuna Studio, Inc. during which I will receive information and instruction about YBR®. I recognize that this fitness program involves physical contact and 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 the YBR® training classes or workshops. I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation.
    3) In consideration for being permitted to participate in YBR® training classes 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 the program.
    4) I understand that I have the right and duty to inspect the mats, facilities and equipment to be used and if I believe that anything is unsafe or beyond my capability I will immediately advise the instructor or supervisor of such condition(s) and refuse to participate.
    5) In further consideration of being permitted to participate in the YBR® training classes, programs or workshops, I knowingly, voluntarily and expressly waive any claim I may have against Yamuna Studio, Inc., its officers, instructors or employees for injury or damages that I may sustain as a result of participating in the program.
    6) I, my heirs or legal representatives foreseer release, waive, discharge, and covenant not to sue Yamuna Studio, Inc. its officers, instructors or employees for any injury or death caused by their negligence or other acts.
    7) I understand that until I complete all of the YBR® requirements I am not a certified practitioner and will not teach or use the work with my clients.
    I have read the above release and waiver of liability and fully understand its contents as well as the Refund/Cancellation Policies. I voluntarily agree to the terms and conditions stated above.

  • Date Format: DD slash MM slash YYYY
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