REGISTRATION &WAIVER OF LIABILITY AGREEMENT OF RELEASE & WAIVER OF LIABILITY Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* How did you hear about us?*FriendInternet AdFacebookWhat is your yoga experience?*NoneBeginnerExperiencedWhat is your paddle boarding experience?*NoneBeginnerExperiencedDo you have any injuries that would prevent your practice of yoga or paddle boarding?*YesNoPlease explain your injuries that would prevent your practice of yoga or paddle boarding:*Can you swim?*YesNoRELEASE & WAIVER OF LIABILITY* I hereby agree to the following:1. That I am participating in SUP yoga (Stand Up Paddle Boarding yoga) or mat yoga classes offered by Yoga Your Way during which time I will receive information and instruction about yoga and/or paddling. I recognize that SUP yoga or mat yoga requires physical exertion which may be strenuous and may cause physical injury and that I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in SUP yoga or mat yoga classes. I represent and warrant that I am physically fit and have no medical condition which would prevent my full participation in the classes. 3. In consideration of being permitted to participate in SUP yoga or mat yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known or unknown which I might incur, to myself (or to any equipment I use during classes belonging to Yoga Your Way) as a result of participating in classes. 4. In further consideration of being permitted to participate in SUP yoga or mat yoga classes, I knowingly, voluntarily and expressly waive any claim I may have against Yoga Your Way or its owners and teachers for any injury or damages that I may sustain as a result of participating in the classes. 5. I, my heirs or legal representatives, forever release, waive, discharge and covenant not to sue Yoga Your Way, its owners and teachers for any claim caused by any negligence or other acts of the owners and teachers. I have read the above Release and Waiver of Liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.PHOTOGRAPHY & VIDEO WAIVER & CONSENT* I hereby consent to the following:By participating in Yoga Your Way SUP yoga or mat yoga classes, I consent to having my photo and/or video taken. I also agree to allow such photos and/or videos to be used by Yoga Your Way for promotional purposes, including but not limited to social media, advertising and website images.