BREATHE Cambridge Waiver Form

I, the undersigned, in consideration for being allowed to participate in yoga and Pilates classes and any classes or services at BREATHE Cambridge, agree to the following:

I acknowledge that all classes are conducted in a heated room and can reach above 100 degrees Fahrenheit for Hot26, and that physical exertion and exposure to heat for prolonged periods may cause increase in blood pressure, heart rate, and occasional dizziness. I acknowledge that I will be engaging in activities and exercises that may involve risk of serious injury, which may include permanent disability and even death, and severe social and economic losses which might result not only from my actions, but also from the action, inaction or negligence, to the fullest extent permitted by law, of BREATHE Cambridge, its employees, agents or others, or the condition of the premises, and further that there may be risks not known to me or not reasonably foreseeable. In he event of pregnancy, I expressly assume all risks of injury, including death, to myself and, to any fetus I may carry, which may occur in connection with my participation in activities at BREATHE Cambridge.

I acknowledge that all classes are conducted in a heated room and can reach above 100 degrees Fahrenheit for Hot26, and that physical exertion and exposure to heat for prolonged periods may cause increase in blood pressure, heart rate, and occasional dizziness. I acknowledge that I will be engaging in activities and exercises that may involve risk of serious injury, which may include permanent disability and even death, and severe social and economic losses which might result not only from my actions, but also from the action, inaction or negligence, to the fullest extent permitted by law, of BREATHE Cambridge, its employees, agents or others, or the condition of the premises, and further that there may be risks not known to me or not reasonably foreseeable. In he event of pregnancy, I expressly assume all risks of injury, including death, to myself and, to any fetus I may carry, which may occur in connection with my participation in activities at BREATHE Cambridge. I agree
I agree to immediately report to a staff member any signs of physical distress or symptoms including, without limitation, chest pain, dizziness or unusual shortness of breath. I agree to take personal responsibility for acting on advert signs and symptoms.

I agree to immediately report to a staff member any signs of physical distress or symptoms including, without limitation, chest pain, dizziness or unusual shortness of breath. I agree to take personal responsibility for acting on advert signs and symptoms. I agree
I, for myself, my heirs, executors, administrators and assigns, hereby release, discharge, and agree to to sue BREATHE Cambridge, and all its respective agents, affiliates, associates, officers, directors, owners and employees (collectively “Releasees”) from any and all demands, losses, or damages on account of any bodily injury, death or property damage caused or alleged to be caused in whole or in part by Releasees or any other party’s actions, inactions, or otherwise. I also agree to indemnify Releasees from any and all third party claims caused in whole or in part by my actions.

I, for myself, my heirs, executors, administrators and assigns, hereby release, discharge, and agree to to sue BREATHE Cambridge, and all its respective agents, affiliates, associates, officers, directors, owners and employees (collectively “Releasees”) from any and all demands, losses, or damages on account of any bodily injury, death or property damage caused or alleged to be caused in whole or in part by Releasees or any other party’s actions, inactions, or otherwise. I also agree to indemnify Releasees from any and all third party claims caused in whole or in part by my actions. I agree
I consent to emergency medical care and transportation in the event of injury to me, as BREATHE Cambridge deems appropriate. This agreement extends to any liability arising out of any medical treatment and transportation provided in the event of an emergency.

I consent to emergency medical care and transportation in the event of injury to me, as BREATHE Cambridge deems appropriate. This agreement extends to any liability arising out of any medical treatment and transportation provided in the event of an emergency. I agree
I acknowledge that BREATHE Cambridge reserves the right to deny services or to revoke privileges to anyone at any time with or without reason. BREATHE Cambridge is not responsible for lost or stolen items.

I acknowledge that BREATHE Cambridge reserves the right to deny services or to revoke privileges to anyone at any time with or without reason. BREATHE Cambridge is not responsible for lost or stolen items. I agree
Name Name First Last
Email
Cell Phone Cell Phone - ### - ### ####
Today's Date Today's Date / MM / DD YYYY
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.