Waiver & Release Form

All clients whether signing up for a membership, class pass, drop in fee, etc. at the studio/online is agreeing to these terms and conditions.

Name______________________________________________ Phone# ___________________________


Email address __________________________________ Date of Birth _____________________________

Emergency Contact Name ___________________________ Emergency Contact Phone:  _________________

Have you been advised not to exercise by a physician? ________________



By my signature below, I understand that the instructors and the facility (Core Love Yoga and Fitness) assume no responsibility for injuries or illnesses which I may sustain as a result of my physical condition or resulting from participation in a class and/or from the use the equipment at the facility.  In addition, I understand that I should consult with my physician before beginning any physical activity.  I expressly acknowledge that I assume the risk for any and all injuries and illnesses, which may result from participation in any fitness or yoga class offered by Core Love Yoga and Fitness.  I hereby release and discharge the instructor and the facility from any and all claims for injury, illness, death, loss or damage, which may result from my participation in activities at this facility.



Core Love Yoga and Fitness is not liable for reimbursing/extending contracts in the event that the studio is closed due to inclement weather lasting less than 30 consecutive days.

Core Love Yoga and Fitness reserves the right to cancel or change the time/date of any and all classes if there is less than 10 registrants for said class in a 7 consecutive day period.  A new class may or may not take the place of the original class. No refund will be issued if Core Love Yoga and Fitness determines a cancellation of this kind is needed.  In a situation where less than 4 people are in a class, we reserve the right to cancel. Please be sure to pre-register for classes and cancel 2 hours prior to that class time if you cannot attend. A $5 fee will be assessed for any no show or those who fail to cancel 2 hours prior to the class start time.  


I give my consent for images (photographs, video) of myself to be taken and used to document the activities of Core Love Yoga and Fitness.  I grant Core Love Yoga and Fitness permission to use the images for educational and promotional purposes.  I understand that if I do not want images of myself to be used, I will indicate this in writing and the signed letter will be attached to this document.



By signing below, I agree that I have read and agree to the terms and conditions stated above.








Coronavirus/Covid-19 Risks.     The novel corona virus,  COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or discouraged the congregation of groups of people. Core Love Yoga and Fitness has put in preventative measures to reduce the spread of COVID-19; however, Core Love Yoga and Fitness cannot guarantee that you will not become infected with COVID-19. Further, attending activities at the facility could increase the risk of contracting COVID-19. By signing this Agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending classes and programs conducted by Core Love Yoga and Fitness, regardless of the location of such classes and programs, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Core Love Yoga and Fitness facility may result from the actions. omissions, or negligence of myself and others, including, but not limited to, the Released Parties (as defined below), and other activity participants. 

By initialing here, I acknowledge that I have read and understand the paragraph above: ______________ 

Aura Cleansing - Chakras Healing
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