GOAT YOGA WAIVER OF LIABILITY

Thank you for signing up for one of our yoga classes! We require all participants to file a waiver of liability, either online using the form below (preferable) or on the day of the event. Broomstick & Candle Apothecary Participant understands that goat yoga involves physical exertion and that injuries may occur when participating in such activities.

Participant accepts and assumes the risks associated with goat yoga, including, but not limited to, overexertion, inability to perform suggested exercises or maneuvers, physical or mental conditions that impede the ability to properly perform suggested exercises or maneuvers, and failure to follow instructions.

Participant understands that farm animals will be part of the goat yoga activity and accepts and assumes the risks associated with the use of farm animals while engaging in this activity. Farm animals can be unpredictable in behavior and are known to nibble, jump, scratch, etc. The participant understands he/she is in a rural environment on unlevel surfaces and may have contact with various plants, manure, dirt, and such things involved in the farm setting.

Participant accepts all risks of property damage, injury and death associated with goat yoga, farm animals, and the rural setting in which it will take place. Participant understands that it is his/her responsibility to consult with a physician prior to and regarding participation in goat yoga. Participant represents and warrants that he/she has no physical or mental condition that would prevent full participation in goat yoga.

Participant agrees to inform his/her instructor immediately of any physical or mental condition that would prevent his/her full participation in goat yoga. In consideration for participation in goat yoga.

Participant hereby agrees to release, hold harmless and indemnify Dianna Scarboro, Broomstick & Candle Apothecary LLC, and their members, heirs, successors, assigns, independent contractors, employees, agents, and instructors, including yoga instructors (hereafter all of the aforementioned are referred to as Broomstick & Candle Apothecary LLC, from any and all claims by or on behalf of participant against any claim, injury or otherwise arising directly or indirectly out the participant's participation in goat yoga. This release includes claims, financial responsibilities, and liabilities arising from any cause whatsoever, including, but not limited to, negligence on the part of Broomstick & Candle Apothecary LLC.

This release is binding upon participant, and participant's heirs, assigns and legal representatives. If signing on behalf of a minor participant, parent/guardian accepts full responsibility for any medical expenses incurred due to the minor's participation in goat yoga and agrees to release, hold harmless and indemnify (including costs and attorney's fees)Broomstick & Candle Apothecary LLC, for any claims brought by or on behalf of the minor.

THE UNDERSIGNED HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS RELEASE, FULLY UNDERSTANDS ITS TERMS AND CONDITIONS, UNDERSTANDS THAT HE/SHE HAS GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS RELEASE AND HAS SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO THE UNDERSIGNED AND INTENDS HIS/HER SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ANY AND ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Date:

Participant Signature (Parent/ Guardian if under 18):

Printed Name (Parent / Guardian if under 18):

APPEARANCE/PHOTO RELEASE Participant understands that he / she, their child, and/or family may or may not be photographed by Broomstick & Candle Apothecary LLC while participating in goat yoga. As such, participant grants Broomstick & CAndle Apothecary LLC the right to record and reproduce their image, likeness, voice, etc., for the purposes of marketing on our social media platforms, website, and promotional materials for advertising, educational activities, seminars retreats, exhibitions, newsletters (electronic or otherwise), videos, press releases, and any other use for the benefit of the program. Broomstick & Candle Apothecary LLC may edit any material recorded in any way they see fit. I understand I will not be compensated in any way for the recording and/or use of my image, likeness, voice. etc.