Wellness Waiver Text
I understand that I am required to sign this Waiver and Release of Liability ('Waiver') in order to participate in any offering of the Bloomingdale Aging in Place ('BAiP') Wellness Program, including but not limited to chair yoga, gentle yoga and MOVEMENT SPEAKS®. This Waiver covers participation in both in-person and remote BAiP Wellness Program classes.
I understand that the BAiP Wellness Program involves physical activity that may pose certain risks to me. I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Wellness Program. I represent and warrant that I have no medical condition that would prevent my participation.
I agree to assume full responsibility for any risks, injuries or damages known or unknown which I might incur as a result of participating in the Wellness Program. By signing this Waiver, I knowingly, voluntarily and expressly release the instructor of this class as well as BAiP (including their respective directors, officers, committee leaders, agents and employees) from any and all claims that I may have for injuries or damages received or incurred in connection with my participation in this class, whether arising during the course of the class or thereafter.
Further, as pertains to the MOVEMENT SPEAKS® class, I agree to indemnify, save, and hold harmless Naomi Goldberg Haas, Dances For A Variable Population and its teachers and any sponsors, agents, directors or staff for any injury or other damage to my health and safety resulting from my participation in the Dances For A Variable Population’s programs.
I have read the above Waiver, understand its contents and voluntarily agree to its terms and conditions.
I understand that the BAiP Wellness Program involves physical activity that may pose certain risks to me. I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Wellness Program. I represent and warrant that I have no medical condition that would prevent my participation.
I agree to assume full responsibility for any risks, injuries or damages known or unknown which I might incur as a result of participating in the Wellness Program. By signing this Waiver, I knowingly, voluntarily and expressly release the instructor of this class as well as BAiP (including their respective directors, officers, committee leaders, agents and employees) from any and all claims that I may have for injuries or damages received or incurred in connection with my participation in this class, whether arising during the course of the class or thereafter.
Further, as pertains to the MOVEMENT SPEAKS® class, I agree to indemnify, save, and hold harmless Naomi Goldberg Haas, Dances For A Variable Population and its teachers and any sponsors, agents, directors or staff for any injury or other damage to my health and safety resulting from my participation in the Dances For A Variable Population’s programs.
I have read the above Waiver, understand its contents and voluntarily agree to its terms and conditions.