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INFORMED CONSENT AND LIABILITY WAIVER RELEASE FOR PARTICIPATION IN GROUP YOGA CLASSES

I agree and consent to the following:


I am voluntarily participating in the group yoga classes containing physical exercise being held at Jocson Physical Therapy & Training under the direction of Missver Jocson, and/or by any of his staff. I recognize that the classes require 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 do here release and discharge and hereby hold harmless Missver Jocson dba Jocson Physical Therapy & Training, and their respective agents, heirs, assigns, and employees from any and all claims, demands, damages, rights or causes of action, present and future , arising out of or connected with my participation in this or any class including any injuries resulting from them.


This waiver and release from liability includes, without limitation, injuries, which may occur as a result of (1) my use of all amenities and equipment in Jocson Physical Therapy & Training, and facilities or premises and my participation in any activity, class program, or instruction (2) equipment that may malfunction or break (3) their negligent instruction or supervision (4) any slipping and/or falling, dropping of equipment while on the premises of Jocson Physical Therapy & Training.


To my best knowledge I am in good physical condition and have no disease, physical limitation, health concern or injury that would be aggravated or would be the cause of any injury sustained, before, during, or as a result of my participating in activities related either directly and/or indirectly to Missver Jocson dba Jocson Physical Therapy & Training and/or his staff.


I recognize that exercise might be difficult and strenuous and there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist. These changes include abnormal blood pressure, fainting, disorders in heartbeat, heart attack, and in rare cases, death.


I understand that as a result of my participation in an exercise or class/program, I could suffer an injury or physical disorder that could result in my becoming partially or totally disabled and incapable of performing any gainful employment or having a normal social life.


I recognize that an examination by a medical physician should be obtained by all participants prior to involvement in any exercise or physical program. If I have chosen not to obtain a physician’s permission prior to beginning this exercise or physical program with Missver Jocson dba Jocson Physical Therapy & Training, I hereby agree that I am doing so at my own risk.


In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate.


I acknowledge that I have thoroughly read this waiver and release and fully understand that it is a release of liability. By signing this document, I am waiving any right I or my successors might have to bring a legal action or assert a claim against Missver Jocson dba Jocson Physical Therapy & Training, for your negligence or that of your employees, agents, or contractors.

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Clermont, FL 34711
 

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