I fully appreciate, understand and acknowledge the fact that yoga may be strenuous and that there exists certain inherent risks and hazards.

I choose to voluntarily participate in classes at Sacred Space Yoga Studio and by participating assume full responsibility for all risk.

I understand that it is my responsibility to consult with my health care practitioner prior to my participation in yoga classes or any other program offered at Sacred Space Yoga Studio. I assume full responsibility for my participation. A release from my health care provider may be required.

I willingly agree to comply with the above stated terms and conditions for my participation, If, however, I observe any unusual significant or hazard or unusual situation during my participation, I will remove myself from participating and bring such to the attention of the teacher.

By signing this document, I agree to release Sacred Space Yoga Studio, Susan C. and Darrell S. Whiteside as well as their agents, tenants, managers, relatives and all other individual persons or entities acting in any capacity by, through, under or on their behalf, and damage or loss to myself or to my property incurred while on the premises at: 1419 Kass Circle, Spring Hill, Florida 34606. I understand by signing below I agree to release my likeness for promotional purposes to Sacred Space Yoga Studio and its agents.

I HAVE READ THE ABOVE RELEASE AND WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. I VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED ABOVE. MY SIGNATURE ON THIS FORM IS MY AGREEMENT.