Name *

First Name

Last Name

AGREEMENT OF RELEASE & WAIVER OF LIABILITY My checking the box below indicates that I agree to the following and serves as my digital signature: • I acknowledge that the instruction offered at SUGARCANE, LLC is limited to that of instruction in yoga and fitness training. I recognize that yoga requires physical exertion which may be strenuous. I am fully aware of the risks involved and I freely accept these risks. • I acknowledge and understand that the instruction offered at Sugarcane, LLC is provided by instructors who are independent contractors. • I will assume full responsibility for any risks, injuries or damages known or unknown, which I might incur as a result of participating in the program. • I understand that it is my responsibility to consult a physician prior to and regarding my participation in the yoga class. I represent and warrant that I am physically fit and have no medical condition which would prevent my full participation in Sugarcane, LLC. • I knowingly, voluntarily and expressly waive any claim I may have against Sugarcane, LLC for injury or damages that I may sustain as a result of participating in this program. I hereby release Sugarcane, LLC and any and all sponsoring agencies from responsibility for any injuries I may sustain as a result of participation in this and future sessions. I certify that I have been fully vaccinated against COVID19, I will wear a mask and practice social distancing. I agree to receive occasional emails from Sugarcane, LLC regarding yoga services and events. I agree to the terms of this waiver. My first and last name typed above serves as my digital signature *

I AGREE