Book your Himalayan Institute Retreat

By signing below, I acknowledge that I voluntarily agree to participate in programs or any and all activities, events, or services  (collectively, the “Activities”) offered by Wellness Empowered Yoga, LLC (the “Company”). For purposes of this Agreement, “Activities” include, but are not limited to the following, yoga classes, private instruction, meditation, mindfulness practices, breathwork, sound healing, workshops, retreats, educational presentations, hiking, walking, nature walks, outdoor activities, transportation related to these events, and other movement or wellness experiences offered by the Company. I understand that the Company is not a health care provider, and is not providing medical or healthcare advice or services.

I understand that the Activities may include physical movement, physical exercises, stretching, strengthening, balance exercises, breathing practices, breathing techniques, meditation, relaxation practices, educational discussions, hiking, walking, and other indoor or outdoor wellness activities. I am aware that certain adverse side effects may result from my participation in the Activities. I recognize that my participation in the Activities may require physical exertion which may be strenuous and could cause physical injury, and I am fully aware of the risks and hazards involved. These could include, but are not limited to: local bruising, fainting, pain or discomfort, and the possible aggravation of symptoms existing prior to my participation in the Activities, other injury or death. I understand that the Company has provided no guarantees concerning my participation in the Activities and that I am free to stop at any time. I also understand that the Company recommends that at any time I feel unwell or unsafe in participating in the Activities, I should stop, and if necessary, seek medical attention.

I understand that the Activities may take place indoors or outdoors and may include hiking, walking on uneven terrain, changing weather conditions, natural bodies of water, wildlife, insects, natural hazards, and other inherent risks associated with outdoor recreation. I UNDERSTAND THAT THE DESCRIPTION OF THE RISKS IN THIS AGREEMENT IS NOT COMPLETE AND I VOLUNTARILY CHOOSE TO PARTICIPATE IN AND EXPRESSLY ASSUME ALL RISKS AND DANGERS OF MY PHYSICAL PRESENCE WHERE THE ACTIVITIES ARE LOCATED, PARTICIPATION IN THE ACTIVITIES, AND/OR USE OF THE FACILITIES ASSOCIATED WITH THE ACTIVITIES, AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM, WHETHER OR NOT DESCRIBED HEREIN, KNOWN OR UNKNOWN, INHERENT OR OTHERWISE.

I understand that it is my responsibility to consult with a physician before participation in any exercise program. I warrant that, except as specifically listed below, I am physically fit and have no medical condition that would prevent my safe participation in the Activities offered by the Company. In consideration of being permitted to participate in the Activities offered by the Company, I voluntarily assume all responsibility for any risks, injuries, or damages known or unknown, which I might incur as a result of participating in the Activities. I (a) knowingly, voluntarily, and expressly waive any claim I may have against the Company, its principals, employees and agents as a result of this program (collectively, the “Releasees”); (b) specifically assume any risks associated with participating in the Activities. I forever discharge and hold harmless Releasees from any damages or injuries occurring (including death or damage to my property) which may arise from my participation in the Activities.

I further agree to indemnify, defend and hold harmless the Releasees from and against any and all misuses, consequences, losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, disbursements or expenses of whatever kind, or nature whatsoever, including attorneys’ fees, fees, the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers due to my participation in the Activities, whether caused by the negligence of Releasees or not.

I expressly, willingly, knowingly, and voluntarily assume all risks of any and every kind involved with or arising from my participation in any Activities, both known and unknown, even if arising from the negligence of the Releasees, as defined herein, or others and I assume full responsibility for same.

I understand that this release is intended to provide a complete defense to any action or proceeding that may be brought or instituted by me or my heirs, assigns, successors, or legal representatives, in connection with any claim at law or in equity occurring as a direct or indirect result of my participation in the Activities offered by the Company and I intend to be legally bound by the terms of this document.

FOR CHILDREN UNDER 18 YEARS OF AGE
In consideration of the minor child being permitted to participate in the Activities, I, as the minor’s parent or legal guardian, accept and agree to the full contents of this Agreement. I certify that I have the authority to sign on behalf of the minor child and to make decisions for the minor child regarding the minor child during their participation in any Activities. I recognize my responsibility to ensure that said minor child participates only in those Activities for which they have the required skills, qualifications, training and physical conditioning. I expressly guarantee, represent, and warrant that I will require the minor to comply with any requirements or restrictions related to the use or operation of any equipment. I expressly guarantee, represent, and warrant that I will supervise the minor at all times while the minor is participating in any Activities, including their use or operation of any equipment, and ensure the minor’s compliance with the terms of this Agreement. I also agree to RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND the Releasees against any and all misuses, consequences, losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, disbursements or expenses of whatever kind, or nature whatsoever, including attorneys’ fees, fees, the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers, incurred by Releasees, that arise in any way from any injury, illness, death, loss or harm that occurs to the minor child during their participation in any Activities. This includes any claim of the minor and any claim arising from the negligence of the Releasees.

RELEASE FOR USE OF IMAGES
Photographs and/or video recordings may be taken during the Activities. By signing below I authorize the Company to use photographs, videos (including audio), or other media containing my likeness for promotional, educational, and marketing purposes, including use in websites, social media, and other business-related materials. I understand that I may decline participation in photography or video recordings without affecting my ability to participate in the Activities.

This Agreement shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania. I agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Pennsylvania, and that if any portion of this Agreement is held invalid by a court of competent jurisdiction, it is agreed that the balance shall continue in full legal force and effect.

To the extent this Agreement is deemed invalid or unenforceable in any respect, I agree to engage in good faith efforts to mediate any dispute that might arise out of, or is in any way related to, this Agreement, or my participation in Activities. Any agreement reached at mediation will be formalized by a written contractual agreement at that time. Should the dispute not be resolved by mediation, I agree that any dispute, controversy or claim arising out of, relating to or in connection with this Agreement, or an alleged breach thereof, and/or my participation in Activities shall be resolved through binding arbitration. BY SIGNING THIS AGREEMENT, I AM WAIVING MY RIGHT TO HAVE ANY CLAIM DECIDED IN A COURT OF LAW BEFORE A JUDGE AND/OR JURY. Releasees and I shall jointly select a single neutral arbitrator. If the selected arbitrator is not willing or able to arbitrate such a dispute or claim then Releasees and I will jointly seek to agree on another arbitrator. If we are unable to mutually select an arbitrator, then, to the extent legally permissible, upon application of either the Releasees or myself, a court of competent jurisdiction shall designate and appoint an arbitrator who shall act under this Agreement with the same force and effect as if such arbitrator had been specifically named herein. The arbitrator shall apply the laws of the Commonwealth of Pennsylvania. The venue for any such arbitration held under this section shall be in Allegheny County, Pennsylvania. I further agree to arbitrate solely on an individual basis, and that this Agreement does not permit class arbitration or any claims brought as a plaintiff or class member in any class or representative arbitration proceeding. The arbitral tribunal may not consolidate more than one person's claims, and may not otherwise preside over any form of a representative or class proceeding. If any term of this Agreement is determined to be invalid or unenforceable for any reason, then the parties’ intent is that only such terms be severed, and this Agreement’s remaining terms shall be enforced.

I am of legal age and fully competent. I have carefully read the foregoing Agreement, and I understand the contents of the same. If I am not of legal age, my parent or legal guardian has fully read the foregoing Agreement and understands that I am fully bound by the signature of my parent or legal guardian. I HAVE READ THIS ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND INDEMNIFICATION AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF THE RELEASEES TO THE GREATEST EXTENT ALLOWED BY LAW.

BY SIGNING BELOW, I HEREBY CERTIFY THAT I HAVE READ THIS AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT.