*I understand that movement classes at Myo may include a range of physical movements and exercises as well as an opportunity for relaxation and nervous system retraining. Certain classes may make use of equipment, props, and/or weights. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I affirm that I alone am responsible to decide whether to participate and participation is at my own risk. I assume full responsibility for any and all damages which may incur through participation.
*As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. I acknowledge that participation in classes exposes me to a possible risk of personal injury. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any class.
*Our services are not a substitute for medical attention, examination, diagnosis or treatment. Physical activity is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in the classes I will be attending. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. It is the responsibility of the student to notify teachers of any previous injury, illness, or conditions that may impact their practice.
*I understand that massage therapy involves neither diagnosis nor treatment of any condition, and is not a substitute for medical care. I have clearance from my physician to receive massage therapy, and I agree to disclose all medical conditions or medications now and in future as changes occur. My sessions will consist of only therapeutic massage techniques; draping will be used at all times; neither my breasts (if female) nor genital areas will be massaged. If I am uncomfortable for any reason I may request to end the session, and the session will be ended.
*I understand the risks of massage therapy, including but not limited to superficial bruising, soreness, and exacerbation of undiscovered injuries, and I release the company and massage therapist of all liability in the case of such injuries.
*If under the age of 17, I must have written consent of a parent or guardian.
If under the age of 13, I must be accompanied by a parent or guardian during the entire session.
*In consideration of, and as partial payment for, the right to participate in programs or receive services at Myo, I RELEASE MYO LLC AND ITS REPRESENTATIVES, OFFICERS, DIRECTORS, EMPLOYEES, INSTRUCTORS, MEMBERS, AGENTS, CONTRACTORS, GUESTS, AND ALL OTHERS ASSOCIATED OR AFFILIATED WITH MYO (COLLECTIVELY THE “RELEASED PARTIES”) FROM ALL CLAIMS AND LIABILITIES OF ANY KIND WHATSOEVER INCLUDING, WITHOUT LIMITATION, CLAIMS OF NEGLIGENCE ON THE PART OF THE RELEASED PARTIES THAT MAY ARISE FROM MY (OR THE MINOR’S) PARTICIPATION IN CLASSES OR USE OF MYO FACILITIES OR EQUIPMENT. I EXPRESSLY AGREE NOT TO SUE THE RELEASED PARTIES AND HEREBY WAIVE ALL CLAIMS AND LIABILITIES AGAINST THE RELEASED PARTIES INCLUDING, WITHOUT LIMITATION, CLAIMS FOR NEGLIGENCE ON THE PART OF THE RELEASED PARTIES ARISING FROM MY (OR THE MINOR’S) PARTICIPATION IN CLASSES OR USE OF MYO FACILITIES OR EQUIPMENT. FURTHERMORE, I EXPRESSLY AGREE TO HOLD HARMLESS, DEFEND, AND INDEMNIFY THE RELEASED PARTIES FROM ALL CLAIMS AND LIABILITIES INCLUDING, WITHOUT LIMITATION, CLAIMS FOR NEGLIGENCE ON THE PART OF THE RELEASED PARTIES ARISING FROM MY (OR THE MINOR’S) PARTICIPATION IN CLASSES OR USE OF MYO FACILITIES OR EQUIPMENT. I EXPRESSLY ACKNOWLEDGE THAT IN SIGNING THIS AGREEMENT, I AGREE TO DEFEND AND INDEMNIFY THE RELEASED PARTIES FROM ALL CLAIMS AND LIABILITIES ARISING FROM ALL ACTS OR OMISSIONS, INCLUDING THOSE OF THE RELEASED PARTIES’ OWN NEGLIGENCE, THAT THE MINOR, IF APPLICABLE, EVER HAD OR MAY HAVE ARISING FROM THE MINOR’S PARTICIPATION IN CLASSES OR USE OF MYO FACILITIES OR EQUIPMENT.
The parties to this Agreement intend the Agreement to be binding, to the fullest extent of the law, on all parties signing below, a Minor visitor, if applicable, and all their respective successors, heirs, executors, administrators, and family.
This Agreement constitutes the complete and sole agreement between me and the Myo. Evidence of any other agreements, whether oral or in writing, are void and inadmissible and unenforceable in a court of law, arbitration or other dispute resolution proceeding. INDIVIDUAL MYO OFFICERS, DIRECTORS, EMPLOYEES, INSTRUCTORS, MEMBERS, AND AGENTS HAVE NO AUTHORITY OR POWER TO ALTER THE TERMS OF THIS AGREEMENT, EITHER ORALLY OR IN WRITING. This Agreement covers my (or the Minor’s) use of Myo facilities as well as my (or the Minor’s) participation in all Myo activities and all associated events.
I have read and understood the terms of this liability release and hereby agree to those terms. This Agreement governs visits to Myo’s facility on the date on which it is agreed to and thereafter until it is withdrawn by written notice to Myo or is replaced by a subsequent agreement.
