• Registration & Liability Waiver

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • Initial your consent to this policy
  • Initial your consent to this policy
  • Initial your consent to this policy
  • Please note we are a fragrance-free studio as many have allergies! Thank you in advance for being as sent-free as possible.

  • Registration Intake Information

  • Intake Information & Health History

  • Do you have any of the following conditions:

  • Waiver Agreement

    Why You’re Reading This Document

    The purpose of this release and waiver (the “Waiver”) is to openly communicate the risks of practicing yoga and Yamuna Body Rolling (via private sessions, group sessions, or teacher training) together, either in person or online, and have you release Divine Balance of any liability. Please be aware that if you do not sign this Waiver and agree to its terms, you will not be permitted to participate in any classes.

    If you are under the Age of Majority in the Province of British Columbia (18 years old), your legal guardian must also sign this Waiver on your behalf.


    1. Parties. We will refer to Divine Balance Inc., a Corporation based in the Province of British Columbia, as “Divine Balance”, “us”, “we” or “our”, and we’ll refer to you, the undersigned (electronically or by hand) or person who has clicked “I Agree” to this Waiver, as “you” or “your”.

    2. The Activities. You may participate, in person or online, in yoga and Yamuna Body Rolling via private sessions, group sessions, workshops, teacher training and more with Divine Balance. We offer levels of therapeutic and pain relieving yoga classes, all of which may involve but are not limited to the following (“Activities”):

    2.1. Stretching and flexibility training in the form of yoga poses, body weight and strength exercises, including being upside down, breath work, therapeutic work, meditation, relaxation and Yamuna body rolling.

    2.2. The constant in all of these classes is that the Activities involve moving in full ranges of motion, strength training, and postural training. The Activities may involve receiving adjustments from instructors, so please advise in advance if you do not want adjustments.

    2.3. The Activities also apply to any classes made available for online streaming and participation, both live or recorded, or that take place outside of Divine Balance’s facilities, including outdoors. We need you to acknowledge that you are responsible for the safe facilitation of the Activities happening outside of our facilities.

    3. Equipment. In the course of the Activities, you will use a variety of equipment, which may include but is not limited to: blocks, bolsters, straps, mats, resistance bands, pillows, dumbbells, foam rollers, massage balls, and Yamuna brand balls and accessories (the “Equipment”). Please do not use any equipment not instructed by Divine Balance.

    4. Inherent Risks. You understand that participating in the Activities poses inherent risks, some more obvious or serious than others. These risks can result in serious harm and injuries that could change your quality of life and, in very rare and extreme circumstances, may even result in death.

    4.1. Injuries include but are not limited to things like muscle tears, strains, rhabdomyolysis and other musculoskeletal injuries, sprains, fractures, broken bones, cardiovascular complications, high blood pressure, dehydration, dizziness, fainting, and hearing loss.

    4.2. Exposure to and contraction of COVID-19 or other communicable diseases passed on via other participants and use of shared space, surfaces, or Equipment.

    4.3. Additional risks of Activities for pregnant or post-natal women to the health of your fetus and your body, including but not limited to pregnancy loss, low birth weight, early delivery and postpartum complications.

    4.4. Additional risks posed by participating in the Activities online, as there is no in-person supervision or space provided for you, and you will therefore need to ensure the safety of the Activities, using your judgment how to best practice them, not pushing yourself too far or attempting anything you feel unsure how to perform.

    4.5. Other risks posed for Activities performed outdoors, such as tripping or collision with human or natural elements, sun exposure, dehydration, insects, exposure to infections, diseases, pollutants and other environmental factors. You understand and agree it is your responsibility to ensure a safe space and environment to perform the Activities.

    5. Affirmation of Health. By participating in any Activities with Divine Balance, you affirm that you have sought medical advice regarding your fitness or are certain of your ability to practice yoga. If you have any pre-existing medical conditions (e.g. asthma, diabetes, heart disease, eye weakness), physical injuries, weakness, are pregnant, post-natal or post-surgery, you should consult with your doctor first before engaging in the Activities. Please communicate and inform us IMMEDIATELY if at any point you do not feel well during the Activities.

    6. COVID-19 / Infectious Disease. If at any point within 14 days prior to participating in any of the Activities, you have suffered from symptoms of a communicable disease (including but not limited to fever, chills, cough, shortness of breath, or sore throat), been in close contact with someone with a known or suspected case or in a hot spot area, or else are uncertain of your health or risk of transmission, you agree not to join or participate in the Activities and you should consult with your doctor. You agree to comply with all measures and policies implemented by Divine Balance and applicable public health guidelines as updated, including but not limited to wearing masks, personal hygiene and social distancing, and allowing your temperature to be checked before arriving to class.

    6.1. Consent to Cooperate with Contact Tracing. You understand and agree that Divine Balance may disclose your personal information to the relevant authorities as required by law and policies related to the containment of COVID-19 through contact tracing or for other lawful purposes.

    7. Voluntary Assumption of Risk. You have read this Waiver and understand the risks of participating in the Activities with Divine Balance. Your signature below, electronic signature or clicking ‘I Agree’, and your participation in the classes with Divine Balance illustrates your voluntary engagement and assumption of the risks of the Activities.

    8. Release, Waiver and Indemnity. You hereby release, hold harmless, indemnify and waive any claims against Divine Balance Inc., its members, directors, officers, contractors, employees, volunteers, agents, executors, administrators, successors, family members and assigns (the “Released Parties”) from any liability and damages arising from death or personal injuries, including the contraction of COVID-19 or other communicable diseases or related to premises liability, however caused including as a result of Divine Balance’s negligence, during your participation in the Activities with Divine Balance. You are releasing the Released Parties at your own risk and you agree to forfeit any and all forms of legal recourse which may be available to you, including but not limited to any form of damages, as a result of your participation in the Activities. You agree that these provisions above apply to you, your family, heirs, executors or anyone else who may be able to bring a legal action on your behalf in the future.

    9. Media Release. We think you’re awesome and want to show you off! By participating in the Activities at Divine Balance, you agree to grant us the irrevocable right to use your image, likeness, photos, testimonials, video content, audio recordings captured of you on the premises or that you share with us online (via your own or others posting of you) as part of our online streaming, marketing and sales throughout the world and in perpetuity. You also release us from all claims you may have relating to such use. Please let us know If you ever want us to stop using an image of you.

    10. Continued Agreement. Agreement to this Waiver will act as your continued agreement to all ensuing classes, sessions and workshops whether in person, online, or via video conferencing tool.

    11. Valuables. You agree that we are not responsible for the loss or damage of any personal property you bring or leave with Divine Balance.

    12. General Legal Provisions. Choice of Laws and Venue. This Waiver will be governed exclusively by the laws of the Province of British Columbia. The parties agree to irrevocably submit all claims to the exclusive jurisdiction of the courts of the Province of British Columbia. Severability. If any provisions of this Waiver are invalid or unenforceable, the other provisions in the Waiver will remain in full force and effect. Entire Agreement. This Waiver constitutes the entire agreement between the parties and replaces any prior agreements. Headings. The headings used in this Waiver are for stylistic purposes only and none of the content in the headings are intended to be legally binding. Online Agreement. We agree that this Waiver may be signed electronically or agreed to by having you click “I Agree”, the effect of which will be the same as signing by hand and the intention of which is that both parties desire to be bound by all the terms of this Waiver.

    You agree that you have read this Waiver and fully understand its contents and voluntarily agree to be bound to all of its terms.

    Thank you for communicating honestly with us. We look forward to welcoming you at Divine Balance!

  • Electronic signatures, whether digital or encrypted, have the same force and effect as manual signatures. Signature of Guardian if under 19 years of age is required.
  • This field is for validation purposes and should be left unchanged.