Om Sweet Om Yoga
12 Irma Avenue
Port Washington, NY 11050
516.944.YOGA
www.omsweetomyoga.com

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Studio Liability Release
In checking the box below in exchange for permission to participate in Yoga Classes/Workshops at Om Sweet Om Holdings LLC, I hereby grant the following release from Liability and Negligence.

I, individually and also as parent and & or guardian of the minor child identified below, release, discharge and hold harmless Om Sweet Om Holdings LLC (d/b/a Om Sweet Om Yoga), its officers, directors, employees, agents, landlords, lessees, sponsors, the YogaKids® Certified Facilitator and Dancing Feet Yoga, Inc., (d/b/a YogaKids International), its officers, directors, employees, agents, landlords, lessees, sponsors and franchisees (hereafter the “Released Parties”) from any and all liability for injury to my child’s person, my person or other persons or property caused in any manner, including the negligence of the Released Parties, by my participation or my child’s participation in The YogaKids® Program or the Yoga Class or Workshop at Om Sweet Om Holdings LLC.

I acknowledge that I have discussed with my and my child’s physician the appropriateness of Yoga class, and The YogaKids® Program in connection with any illness or condition that my child or I now have or have previously had and that I knowingly execute this release from liability and negligence.

In the event that I/or my child become ill or injured during or as a result of participation in the class, I hereby allow the Released Party to arrange for such emergency medical attention as they in their sole judgment may deem to be required to preserve my life and/or health. I hereby release, discharge, and hold harmless the released parties, as well as any person or entity that provides such emergency medical attention, from any and all liability in connection with any injury to my property arising in connection with or as a result of such emergency medical treatment.