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Registration: On Tuesdays, we do YOGA

January 21, 2025 - February 25, 2025

Tuesdays 11:30-12:30

Burlington Odd Fellows Hall

1416 North Avenue, Burlington

University of Vermont Campus Recreation Teacher Training Waiver

WAIVER OF LIABILITY/ASSUMPTION OF RISK


I, the undersigned, wish to voluntarily participate in a “UVM Yoga Instructor-In-Training” class hosted and taught by Skunk A. Bouchard on Tuesdays beginning January 21, 2025 and ending on February 25, 2025. This is a free class, and the yoga instructor is in training. I understand that participating in this program presents many risks of bodily injury including, but not limited to, illness, strains, sprains, fractures, cuts, bruises, dislocations and other possible serious bodily injury.


To the best of my knowledge, I am in good health and suffer no disability or condition which renders my participation in this activity medically inadvisable.


I will not possess or use alcohol or other controlled substances while participating in this event, or on site at Burlington Odd Fellows Lodge.


I consent to the administration of emergency medical treatment on my behalf. I understand that UVM, Burlington Odd Fellows, Wild Embrace LLC, Skunk Bouchard and all those affiliated to the prior are not responsible for the payment of any medical attention I require as a result of my participation in this activity. I agree to be responsible for expenses associated with such care.


I hereby release, relieve and hold harmless the University of Vermont, its trustees, officers, employees and agents, Burlington Odd Fellows and those affiliated, Wild Embrace LLC and those affiliated, and Skunk A. Bouchard from any liability arising out of my participation in this activity. This waiver is not intended to release liability arising from the sole negligence of the University of Vermont, its trustees, officers, employees or agents, Burlington Odd Fellows and those affiliated, Wild Embrace LLC and those affiliated, or Skunk A. Bouchard.

ANYONE UNDER THE AGE OF 18 MUST HAVE THIS FORM SIGNED BY A PARENT OR GUARDIAN.


By signing below, I acknowledge that I have read this agreement, understand it and agree to abide by it.

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