By purchasing a class or camp on behalf of myself or my child, I certify that I, as parent/guardian with legal responsibility for this participant, do consent to my/his/her participation and for myself, my heirs, assigns, and next of kin, release and agree to indemnify and hold harmless all Breathing Space, LLC, instructors, program venues, their shareholders, directors, officers, employees, representatives and agents from any and all loss, claim, injury, damage or liability pertaining to my and/or my minor child’s involvement or participation in this program, even if arising from negligence, to the fullest extent permitted by law.
It is expressly agreed that all use of the facilities and premises on and off-site (including but not limited to stairs, streets, parking areas, walkways, driveways, etc.) shall be undertaken at my and my minor child’s own sole risk.
Photography Release: I understand that my child may be photographed while having fun at Breathing Space camps or classes. The photographs will be the property of Breathing Space, LLC and no compensation will be given to my child or me if these photographs are used by Breathing Space Family Yoga or owner Jennifer Mueller. I understand that no person whose image is used will be identified by name and the photographs will be used for promotional and training purposes only.
Emergency Medical Treatment: I understand that in the case of emergency, my child will receive medical treatment at the nearest hospital. In the case that the emergency contacts I have provided are unreachable, I authorize a Breathing Space representative to seek medical treatment and make all related decisions on behalf of my child.
Camp Late Pickup and Fees: Please pick up on time. Our venues and instructors depend on your timely arrival to meet evening obligations. Campers not picked up at either 3:45 pm or 5:45 pm (extended day) are considered late and will be charged a flat fee of $25. Campers will be charged an additional $25 in 15 minute increments after that. Chargers are per camper. Parents must sign charge authorization on pickup.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
