Activity Waiver

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Activity Waiver Form

THIS ACTIVITY WAIVER FORM (this "Waiver") dated  _______ day of

____________________, __________.

IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable

consideration, the receipt of which is hereby acknowledged, I ___________________________

of ________________________________________ (the "Participant") agree with Namaste

Lamb Island Yoga of 38 Melaleuca Dr, Lamb Island QLD 4184, Australia (the "Activity Provider")

to the following:

DETAILS OF ACTIVITY

CONSIDERATION

CONCURRENT RELEASE

FITNESS TO PARTICIPATE

FULL AND FINAL SETTLEMENT

Scheduled from 20 February 2023 to 23 March 2023, the Participant will be participating in

the following activity: Yoga Teacher Training (the "Activity") provided by the Activity Provider.

1.

Being of lawful age and in consideration of being permitted to participate in the Activity, the

Participant releases and forever discharges the Activity Provider, its owners, directors,

officers, employees, agents, assigns, legal representatives, and successors from all manner

of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or

by reason of any injury to person or property, including injury resulting in the death of the

Participant, which has been or may be sustained as a consequence of the Participant's

participation in the Activity, and not withstanding that such damage, loss, or injury may have

been caused solely or partly by the negligence of the Activity Provider.

2.

The Participant understands that the Participant would not be permitted to participate in the

Activity unless the Participant signed this Waiver.

3.

The Participant acknowledges that this Waiver is given with the express intention of effecting

the extinguishment of certain obligations owed to the Participant by the Activity Provider, and

with the intention of binding the Participant's spouse, heirs, executors, administrators, legal

representatives, and assigns.

4.

The Participant acknowledges to the Activity Provider that the Participant does not have any

physical limitations, medical ailments, or physical or mental disabilities that would limit or

prevent the Participant from participating in the Activity. If required, the Participant will obtain

a medical examination and clearance.

5.

The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity

Provider has given the Participant sufficient time to carefully read this Waiver, (2) the

Participant has been given the opportunity and has been encouraged to seek independent

legal advice prior to signing this Waiver, (3) theParticipant fully understands the risks and

claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely

and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing

6.

Initials: ______________________________

GOVERNING LAW

EMERGENCY CONTACT

IN WITNESS WHEREOF the Participant has duly affixed their signature on this _______ day of

____________________, __________.

______________________ (Participant)

or otherwise claiming against the Activity Provider for any property loss or personal injury that

the Participant may sustain while participating in or preparing for the Activity.

This Waiver will be governed by and construed in accordance with the laws of the State of

Queensland.

7.

Name: _____________________________

Phone: ______________________

8.

Activity Waiver Form Page 2 of 2

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Initials: ______________________________