READ CAREFULLY – THIS IS AN IMPORTANT LEGAL DOCUMENT
ACKNOWLEGEMENT OF RISKS AND HAZARDS, WAIVER OF RIGHTS,
RELEASE AND INDEMNITY AGREEMENT.
WARNING !!! By signing this document you are giving up valuable legal rights in the event you should be injured or killed and you or your representative attempts to sue someone for your injuries. You will probably not be able to win your lawsuit even though someone besides yourself may have been legally at fault.
Furthermore, there is no insurance coverage provided by the released parties for any injuries that may happen to you while performing aerial silks yoga, and even if insurance exists, this document is intended to waive your right to collect any such insurance benefits.
In consideration for being permitted to participate in aerial yoga or any activity in the aerial silks hammocks, I, ______________________________________________ (PRINT NAME ) of
_______________________________________________________________ (PRINT
ADDRESS ) do hereby agree as follows :
1. I hereby forever irrevocably RELEASE AND DISCHARGE , Aerial Yoga Houston, its
Members, officers and principals, any employees of Aerial Yoga Houston and any entity or individual affiliated or contracted by Aerial Yoga Houston ( hereinafter referred to as
“RELEASED PARTIES” ) for all damages, injuries or losses to me including, but not limited to, losses CAUSED BY PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASED PARTIES or obvious or non-obvious defects. ( _______ ) INITIAL
2. I further agree that I WILL NOT SUE OR MAKE A CLAIM against the RELEASED
PARITIES for damages or other losses sustained as a result of my participation in aerial silks yoga of any kind. I also agree to INDEMNIFY AND
HOLD THE RELEASED PARTIES HARMLESS from any claims, judgment and costs, including attorney and legal fees, incurred in connection with any action brought as a result of my participation in aerial silks activities of any kind including but not limited to losses CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASED
PARTIES; or hidden, latent, or obvious defects in the equipment used. THE INTENT OF
THIS RELEASE IS TO RELEASE AND DISCHARGE THE RELEASED
PARTIES OF ANY DUTY OF CARE TO ME WHAT-SO-EVER IN SO FAR AS
IT IS POSSIBLE TO DO SO UNDER APPLICABLE LAW. ( _______ ) INITIAL
3. I understand and acknowledge that aerial yoga or aerial silks activities of any kind have inherent dangers that no degree of care, caution, or expertise can illuminate and I
EXPRESSLY AND VOLUNTARILY ASSUME ALL RISKS OF AERIAL YOGA
OR AERIAL SILKS ACTIVITIES OF ANY KIND INCLUDNG THE RISK OF
PASSIVE OR ACTIVE NEGLIGENCE OF THE RELEASED PARTIES ; or hidden,

latent, or obvious defects on any structural supports or in the equipment, including fabric or hardware used. ( _______ ) INITIAL
4. I have been advised and recognized that my aerial yoga activities of any kind are not covered by any personal accident or general liability insurance policies issued to the RELEASED
PARTIES. ( _______ ) INITIAL
5. I understand that because of the unavoidable and unpredictable dangers involved in the participation in aerial yoga or aerial silks activities of any kind the RELEASED PARTIES make no warranty of any kind, expressed or implied, concerning any training, equipment, or facilities provided by the RELEASED PARTIES. Furthermore I recognize that aerial yoga and aerial silks activities of any kind are a dangerous sport and associated equipment such does not always work as they are expected to. ( _______ ) INITIAL
6. I understand that because of the nature of aerial silks or aerial yoga activities of any kind, it is impossible for any person, including the RELEASED PARTIES, to determine with any degree of certainty that I have been trained properly in the sport. I hereby warrant to the RELEASED
PARTIES, that based upon my own evaluation I believe that I have been adequately trained and am experienced to safely perform aerial yoga and aerial silks activity of any kind and cope with the high speed conditions and stress associated with these activities. I further declare that I am not under treatment for any of the following: Cardiac or pulmonary condition or disease; High or low blood pressure; Fainting spells or convulsions; Hearing loss or impairment; Nervous disorder;
Diabetes; Kidney or related diseases; Shortness of breath; or Psychiatric disorders. I further certify and declare that I am not on any recognized medication and have not taken nor will in the future take alcoholic beverages or drugs within the preceding 12 hours of any aerial silks yoga or aerial yoga activities of any kind that I may perform now or in the future at Aerial Yoga Houston.
( _______ ) INITIAL
7. Based upon my independent evaluation of the risks, I REAFFIRM MY ASSUMPTION
OF THE EXTREME RISK AND DANGER SET OUT IN PARAGRAPH 3 ABOVE.
( _______ ) INITIAL
8. I certify that considering my lifestyle and the manner in which I am supporting my dependents,
I have made adequate provision for my spouse, children, or heirs and all other persons dependent upon me so that in the event of my injury, disability or death they will not suffer a financial loss.
( _______ ) INITIAL
9. I further agree that in the event I have any claim whatsoever against any of the RELEASED
PARTIES arising out of my participation in aerial yoga and/or aerial silks activities of any kind including an action for personal injury, that it shall be a condition precedent to filing of a lawsuit against any of the RELEASED PARTIES that the matter first be arbitrated at my expense by an arbitration board and that the decision and finding of that board shall be final and binding upon all persons. ( _______ ) INITIAL
10. I agree that venue and jurisdiction for any legal action arising out of any matter which is the subject of this document shall be determined by the RELEASED PARTIES and that if the Court should decide that any clause in this contract is illegal or unenforceable, such determination shall not affect the validity or enforceability of the remaining provisions. ( _______ ) INITIAL
I HAVE CAREFULLY READ THIS AGREEMENT AND RELEASE OF
LIABILITY, I FULLY UNDERSTAND ITS CONTENTS AND SIGN BELOW OF
MY OWN FREE WILL.
Student :
Name___________________________________________________________ (print)
Signature ________________________________________________________
Date ____________________________________________________________