Yoga Health Release Form

WAIVER, RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT FOR:

Clearwater Valley Health
Orofino Clinic | 1055 Riverside Ave. Orofino, ID 83544
Yoga Program

Please read this form carefully and be aware that in signing up and participating in the above program you will be waiving and releasing all claims for injuries arising or sustained while participating in this yoga program.

In registering for this program, you are agreeing as follows: *

As a participant in this yoga class I recognize and acknowledge that there are certain risks of physical injury. I agree to assume the full risk of any injuries in which I may sustain as a result of participating in this program.

I agree to waive and relinquish any and all claims that I may have as a result of participating in the Orofino Clinic Yoga Program against Clearwater Valley Health, and any and all other participating or cooperating officers, agents, servants and employees of Clearwater Valley Health. (The parties described in the preceding sentence are referred to as "released parties" in the remainder of this Agreement).

I hereby do fully release and discharge Clearwater Valley Health and other released parties from any and all claims for injuries, including death, damage, or loss, which I may have or, which may accrue to me by my participation in the program.

I further understand and agree that the terms such as "participation," "program," and "activities," referred to in this Agreement, include all actions taken and resulting from my participation in the program.

I understand the nature of the program for which I am registering and have read and fully understand this Waiver. I further understand that any advisements or warnings of the particular risks of this program that I subsequently receive will be incorporated by reference into and become part of this Agreement.

Signature *

Yes I agree to all of the above terms

Email *

Phone Number *

Full Name *

Date *

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.