Activity Waiver

ACKNOWLEDGMENT OF RISK

Participant agrees and acknowledges that Yoga, Exercise, and Strength Training involve physical movements and activity and can be physically and mentally challenging. Participation in these activities therefore bears risk of injury, illness, and even disability and/or death.

ASSUMPTION OF RISK & FULL RESPONSIBILITY

Participant accepts all risks of participating in Yoga, Exercise, and Strength Training and assumes full responsibility for any and all injury, illness, and/or damages caused by their participation in these activities.

PARTICIPANT SAFETY OBLIGATION

During Yoga, Exercise, and Strength Training, if Participant experiences any pain or significant discomfort, they agree to: Listen to and honor their body. Discontinue the activity immediately. Notify the Instructor immediately. Seek medical attention from a physician at a clinic or hospital.

VOLUNTARY PARTICIPATION

Participant understands and agrees that their participation in Yoga, Exercise, and Strength Training — in each class and in each pose — is voluntary, in their sole discretion, and at their own risk.

MEDICAL CLEARANCE

Participant represents that they have consulted with or have been cleared by a licensed physician prior to engaging in Yoga, Exercise, and/or Strength Training activities offered through Whole Health Oncology, and that they have no known medical condition that would preclude safe participation unless otherwise disclosed to their care team.

First Name

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Last Name

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PARTICIPANT ACKNOWLEDGMENT & SIGNATURE

By signing below, I confirm that I have read, understand, and voluntarily agree to all terms set forth in this Waiver and Release of Liability. I understand this is a binding legal document.

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By submitting your signature, the parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

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