"*" indicates required fields Name* First Last Email* Phone*Emergency Contact InformationEmergency Contact Name First Last Emergency Contact PhoneAgreementAgreement of Release and Waiver of Liability* I have read the below release and waiver of liability and fully understand its contents as well as the Refund/Cancellation and Make-up Class Policies. I voluntarily agree to the terms and conditions stated below.I am participating in a Yoga Class/Workshop, offered by the Integral Yoga® Center of Richmond, or its Teacher Training Program, during which I will receive information and instruction about yoga and health. I recognize that yoga may require some physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga Class or Workshop. I represent and warrant that I am physically fit and I have no medical condition, which would prevent my full participation in the Yoga Class or Workshop. In consideration of being permitted to participate in the Yoga Class or Workshop, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program. In further consideration of being permitted to participate in the Yoga Class or Workshop, I knowingly, voluntarily and expressly waive any claim I may have against the Integral Yoga® Center of Richmond, YogaHelps, its director, instructors and staff, Integral Yoga® International (Yogaville) and class/workshop sponsors, in addition to Temple Beth-El (landlord), for any injury or damages that I may sustain as a result of participating in the program. I, my heirs or legal representatives, forever release, waive, discharge and covenant negligence or other acts.Signature*