Empowerment Self Defense Waiver

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY FORM

Why You’re Reading This Document

The purpose of this release and waiver (the “Waiver”) is to openly communicate the risks of practicing Empowerment Self Defense and martial arts together, either in person or online, and have you release Michael Fong, Tristina Kennedy, Roots to Wings Yoga, their directors, officers, employees, volunteers, independent contractors, the property owner and agents of any liability. 

Please be aware that if you do not sign this Waiver and agree to its terms, you will be unable to participate in our classes. 

PLEASE READ CAREFULLY, UNDERSTAND FULLY, AND ASK QUESTIONS IF ANYTHING IS UNCLEAR. WE ARE HERE TO SUPPORT YOU. MAKE SURE YOU UNDERSTAND THIS WAIVER. BY SIGNING THIS YOU AGREE YOU ARE SIGNING AWAY YOUR LEGAL RIGHTS AND YOU AGREE TO BE BOUND BY ALL THE TERMS OF THIS AGREEMENT.

1.    Parties. We will refer to Tristina Kennedy and/or Michael Fong as Roots to Wings Yoga, a partnership registered in the State of California, as “RTW Yoga”, “us” or “we” and we’ll refer to you, the undersigned (electronically or by hand) or person who has clicked “I Agree” to this Waiver, as “you” or “your”.

2.    The Activities. You will be participating in Empowerment Self Defense, martial arts, and exercise classes with RTW Yoga. We offer yoga, martial arts, and movement classes that may involve but are not limited to the following activities (the “Activities”): 

a.    During class we will practice martial arts, which involves close contact training using a range of martial arts drills/techniques like Tai Chi, kickboxing and Muay Thai striking, wrestling grips and take downs, breathing exercises, yoga, and meditation. These activities may involve striking with kicks, punches, elbows, knees, take downs, take down defense, ground defense, choking techniques, joint manipulation, and more. 

3.    Equipment. In the course of the Activities, you may use a variety of equipment (the “Equipment”), which may include but is not limited to: martial arts gloves, striking pads, striking mitts, and mats. Please do not use any equipment not instructed by us.

a.    Use of Masks / Facial Coverings. It is completely your voluntary choice, if during the Activities, you wish to wear a mask or other forms of facial covering and protective gear designed to help reduce the spread of COVID-19 or other communicable diseases (“Protective Gear”). You understand and assume the risks of using any Protective Gear while performing the Activities, as detailed in section 2, and should check with your doctor to make sure you do not have any underlying risks and are fit to do so. 

4.    Inherent Risks. You understand that participating in the Activities poses inherent risks, some more obvious/serious than others. These risks can result in serious harm and injuries that could change your quality of life and, in very rare and extreme circumstances, may even result in death. 

a.    Injuries include but are not limited to things like muscle tears, strains and other musculoskeletal injuries, sprains, broken bones, cardiovascular complications, concussions, dehydration, dizziness, and fainting. 

b.    Exposure to and contraction of COVID-19 or other communicable diseases passed on via other participants and use of shared space or Equipment. 

c.     There are risks involved and hazards connected with learning and practicing self-defense movements. Examples of some of the risks might include: injury caused by oneself, other participants, or instructors because of a failure to exercise appropriate care in controlling or managing physical contact during practice, demonstration, or teaching of postures, martial applications, techniques, or exercises; the possibility of injuring oneself from engaging in potentially vigorous or demanding physical activity; the possibility of injury from known or unknown hazards present in the space or location where the activity takes place; and the possibility of injury from known or unknown hazards or defects in the equipment provided to oneself, other participants, or instructors in connection with the Activities.

d. There are additional risks posed by using Protective Gear while exercising and performing the Activities, including but not limited to asphyxiation, respiratory and breathing difficulty, chest pain, fainting, fatigue and collapse. 

e. You recognize and understand that martial arts and self-defense training is an activity that involves close physical contact that might result in illness, serious injury, including permanent disability or even death, and severe social and economic loss. You recognize and understand that such risk may be due to the action, inaction or negligence of the instructor, the conditions of the premises, or of any of the equipment used. You agree to immediately inform the instructor if you believe that anything is unsafe or beyond your capability and refuse to participate. You will need to ensure your safety while participating in the Activities, by using your best judgment, not push yourself too far or attempt anything you feel unsure of how to perform.

5.    Affirmation of Health. By participating in any Activities with RTW Yoga, you affirm that you have sought medical advice regarding your fitness to practice Empowerment Self Defense and martial arts. If you have not sought such advice, you must be certain that your medical and fitness levels are sufficient to participate in vigorous exercises and challenging conditions. 

a.    COVID-19 / Infectious Disease. Amidst the current developments surrounding communicable diseases, you acknowledge that every time you participate in the Activities you are affirming that you are healthy and that you do not present an increased risk due to COVID-19 or other infectious diseases. If you are suffering from symptoms of a communicable disease or are unsure of your health and ability to practice the Activities, please consult with your doctor and we urge you not to participate in our Activities. We are all in this together and it is important that we follow guidelines on social distancing, hygiene practices, and act with kindness and responsibility towards each other in order to ensure everyone’s safety. 

6.    Voluntary Assumption of Risk. You have read this Waiver and understand the risks of participating in the Activities with RTW Yoga. Your signature below, electronic signature or clicking 'I Agree’, and your participation in the classes with RTW Yoga illustrates your voluntary participation and assumption of the risks of the Activities.   

7.    Release, Waiver and Indemnity. You hereby release Tristina Kennedy, Michael Fong, and Roots to Wings Yoga, its members, directors, officers, contractors, employees, volunteers, agents, executors, administrators, successors, family members and assigns (the “Released Parties”) from any liability and damages arising from death or personal injuries, including the contraction of COVID-19 or other communicable diseases, however caused including as a result of RTW Yoga’s negligence, during your participation in the Activities with RTW Yoga. You are releasing the Released Parties at your own risk and you agree to forfeit any and all forms of legal recourse which may be available to you, including but not limited to any form of damages, as a result of your participation in the Activities. You agree that these provisions above apply to you, your family, heirs, executors or anyone else who may be able to bring a legal action on your behalf in the future.   

8.    Media Release. By being a student with us in-person or online, you agree to grant us the irrevocable right to use your image, likeness, photographs, video content, audio recordings of you captured during any Activities or that you share with us online (via your own or others posting of you) as part of our online streaming, marketing and sales throughout the world and in perpetuity. You also release us from all claims you may have relating to the use mentioned in this section. Please let us know If you ever want us to stop using an image of you.

9.    General Legal Provisions. Jurisdiction. This Waiver will be governed exclusively by the laws of the State of California. Severability. If any provisions of this Waiver are invalid or unenforceable, the other provisions in the Waiver will remain in full force and effect. Entire Agreement. This Waiver constitutes the entire agreement between the parties and replaces any prior agreements. Headings. The headings used in this Waiver are for stylistic purposes only and none of the content in the headings are intended to be legally binding. Online Agreement. We mutually agree that this Agreement may be signed electronically or agreed to by having you click “I Agree”, the effect of which will be the same as if we signed the Agreement by hand and the intention of which is that both parties desire to be bound by all the terms of the Agreement. 

You agree that you have read this Waiver and fully understand its contents and voluntarily agree to be bound to all of its terms. 

Thank you for your cooperation! We look forward to practicing together. 

 

 

Who will be participating?

Adult  Adult and Children  Children

Signee Information

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.