I hereby voluntarily agree to, personally or on behalf of the minor child named above (the “Minor), to participate in individual and group fitness classes (the “Classes”) designed and administered by Earth & Aerial Yoga, LLC and its authorized agents, employees and contractors (individually and collectively, “Earth & Aerial Yoga”). If signing on behalf of a Minor, I understand that all references to “I” and “my” in the sections below are referring to the Minor.

I hereby declare myself physically and mentally sound and suffering from no condition, injury, impairment, disease, infirmity, or other illness that would prevent my participation in the Classes. I acknowledge Earth & Aerial Yoga has recommended that I obtain a physician’s approval prior to my participation in the Classes, and that I further obtain physician’s approval with respect to the continuation of my participation in the Classes if, at any time, I suffer any adverse change in my physical or mental condition. I further acknowledge that I have either had a physical examination and have been granted permission by my physician to participate in the Classes, or I have elected to participate in the Classes without my physician’s approval. I further acknowledge that it is my responsibility to keep abreast of any changes or deterioration in my physical condition.

I acknowledge and understand that the instructors and other personnel of Earth & Aerial Yoga are not trained medical professionals and that any information provided to me by Earth & Aerial Yoga neither constitutes nor serves as a substitute for medical advice. I further acknowledge that I, in my sole discretion, may disclose to Earth & Aerial Yoga the existence of an illness, injury, impairment, disease, infirmity, or other condition that may prevent, hamper, or otherwise affect my participation in the Classes, but that Earth & Aerial Yoga is not qualified to determine if and how my participation in the Classes will affect any such illness, injury, impairment, disease, infirmity or other condition, whether positively or negatively. In the event Earth & Aerial Yoga suggests a modification to an activity to accommodate any such condition, it is my responsibility to evaluate whether or not such modification would aggravate or worsen such condition.

Although Earth & Aerial Yoga shall exercise reasonable precautions to ensure my safety, I acknowledge and agree that I will be engaging in activities that may pose inherent risks, including but not limited to, bodily injury and death. Additionally, there may be other risks not known or not reasonably foreseeable at this time.

I acknowledge and agree to no warranties, representations, or guarantees of any kind, expressed or implied, have been made to me regarding the results I will achieve from the Classes. I understand that Earth & Aerial Yoga will prescribe the most effective methods within the scope of its knowledge to help me achieve my fitness goals, but actual results may vary based on factors beyond the control of Earth & Aerial Yoga, including, but not limited to, my frequency of participation in the Classes, the number and type of physical activities undertaken by me outside of Earth & Aerial Yoga, my dietary choices and habits, and my individual body type and metabolism. I further acknowledge that the activities undertaken by me in the Classes may be unsuitable, or even dangerous, for another individual to undertake. I therefore agree that I will not share any information provided by Earth & Aerial Yoga, whether verbal, written or physically demonstrated, with any other person.

I acknowledge our agreement that I may not bring a lawsuit or claim of any kind against Earth & Aerial Yoga LLC and its members, agents, servants, employees, contractors, officers, managers, representatives, successors, assigns, subsidiaries and/or affiliates for any injuries and/or property damage referenced in this document, either on my own behalf of on behalf of your minor child or legal ward. If I should bring such a lawsuit or claim in violation of this agreement, I agree that I shall be liable to any defending party for any and all reasonable attorneys’ fees and expenses that may be incurred in defending against such claims.

I represent and warrant that all of the representations made by me herein are truthful and accurate. I have had the opportunity to ask questions regarding the representations set forth in this document, and if I have asked any such questions, Earth & Aerial Yoga has answered the same to my satisfaction.