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YOGA AND WELLNESS ACTIVITIES WAIVER

Acknowledgment of Risks:

I am participating in yoga classes, health programs, workshops and/or other wellness, body work, therapy, exercise, meditation, and/or healing arts activities (collectively, the “Activities”) offered by Convergent Mental Health and Wellness (further referred to as CMHW). I understand that the Activities involves physical and mental activities that may carry certain risks. I acknowledge I am voluntarily participating in the Activities and understand the potential risks involved. I have consulted with my physician(s) and/or mental health provider(s) before my participation in the Activities and am following their professional advice by engaging in the activities.

 

Assumption of Risk:

I hereby assume full responsibility for any risk of mental health consequences, bodily injury, death, or property damage arising out of or related to participating in the Activities, whether caused by negligence or otherwise. I understand my mental health and physical limitations and I am sufficiently self-aware to stop or modify my participation in any Activity before I harm myself or aggravate a pre-existing condition.

 

Release of Liability:

I (for myself and on behalf of my heirs, assigns, personal representatives, and next of kin), hereby knowingly, voluntarily, and expressly waive any “Claim” (as defined below) I may have against CMHW, its teachers/instructors, workshop presenters, employees, independent contractors, volunteers, and staff (each, a “Released Party”) that I may sustain as a result of participating in Activities at CMHW. I release, indemnify, and hold harmless CMHW and any Released Party.

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“Claim” includes but is not limited to any and all liabilities, claims, demands, expenses, fees, legal actions, rights of actions for damages, personal injury, mental suffering and distress, or death that I may suffer, my spouse, children or unborn child may suffer (including any legal fees or expenses) in connection with participation in any Activity.

 

Medical Disclaimer:

I acknowledge that the Activities are not a substitute for medical attention, treatment, examination, or therapy. I understand that it is my responsibility to consult with a healthcare professional prior to and regarding my participation in the Activities.

 

Confidentiality Clause:

I hereby understand that CMHW from time to time may photograph, video, or otherwise record classes or events held by CMHW and place such photographs and videos on its Website or social media platform. I hereby consent to the use of my image that may appear in any such photograph or video, and understand that I have the right to redact this consent at any time by written request to CMHW.

 

Governing Law:

This waiver and release shall be governed by and construed in accordance with the laws of the State of Maryland, and all actions, suits, claims and proceedings relating to this agreement shall be brought in a court of competent jurisdiction located in Maryland.

 

In case any provision of this agreement shall be held invalid, illegal or unenforceable, it shall not affect any other provision of this agreement and this agreement shall be construed as if such provision had never been contained herein.

 

Acknowledgement

I acknowledge that I have carefully read this agreement and fully understand its contents. I voluntarily and knowingly agree to the terms and conditions stated herein. I am aware that by submitting this agreement, I am giving up substantial rights, including my right to sue and certain legal rights my heirs, next of kin, executors, administrators, and assigns may have against any Released Party.

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Contacting Us

If there are any questions regarding this waiver you may contact us using the information below.

http://www.convergentmhw.com
213 Old Padonia Rd
Cockeysville, MD 21030, USA

karly@convergentmhw.com

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Last Edited on 03-25-2024

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