waiver & release

I certify that neither my child nor myself have any known medical or other conditions that could interfere with our, or each of our individual, participation in Yogi Beans’ activities.   I also understand and accept that the practice of yoga, both indoor and outdoor, involves certain risks of physical injury.  Therefore, I, individually and on behalf of my child listed below, hereby release, discharge, and hold harmless Yogi Beans LLC (“Yogi Beans”) and each of its respective parent, member, subsidiary, and affiliated companies, and each of their respective officers, directors, agents, representatives, employees, contractors, successors, assignees, and licensees (hereinafter, "the Released Parties") from any and all claims, actions, damages, losses, liabilities, costs and expenses of any kind whatsoever, including but not limited to any claims of negligence, arising out of, resulting from, by reason of, or in connection with my and/or my child's participation in any Yogi Beans program or activity.  I agree that I will not bring or be a party to any legal action or claim against the Released Parties, or any of them, based upon or arising out of my and/or my child's participation in any Yogi Beans program or activity on any legal theory whatsoever (including, without limitation personal injury, negligence, rights of privacy and publicity, or defamation).

Yogi Beans and its agents reserve the right to take and utilize photographs, video, or any type of recording of participating children and their parents, caregivers, or anyone accompanying them to Yogi Beans while engaged in our classes or associated activities. I consent to Yogi Beans' use of any photograph, video, or recording of my child, me, or the guardian I have designated for advertising, promotional, or related purposes, and waive all rights to compensation and other rights which may arise as a result (including any rights under N.Y. Civil Rights Law 50).

Parent Name *
Parent Name
Child Name *
Child Name
Child's Date of Birth *
Child's Date of Birth

By submitting this form I acknowledge that I have read and accept all of the aforementioned waiver & release terms.