I individually and as parent and/or guardian of the minor child identified below hereby acknowledge the following notices and grant to SoCal Yoga Social the following release from liability to the fullest extent permitted by law and agree that all terms hereof shall apply to all future visits to any SoCal Yoga Social locations:


A. I acknowledge and fully understand that I, or my child, will be engaging in physical activities that may involve some risk of injury. I acknowledge and have been advised that it is my responsibility to consult with me or my child’s physician with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my or my child’s participation. I assume the foregoing risks and accept full personal responsibility for any personal injuries sustained by my child which might incur as a result or participating in this program and discharge and hold harmless SoCal Yoga Social, its owners, directors, members, employees and agents from any claim, cause of action or liability for damages arising from any personal injury to my child or other persons or property caused by myself or my child’s participation in the SoCal Yoga Social program.



B. In the event that medical attention is needed for myself, or any of the minors listed above, I represent I have the authority to and hereby do grant permission for basic first-aid and assistance to be administered by SoCal Yoga Social staff. In the event that professional medical treatment is required, I grant SoCal Yoga Social permission to call 911 and authorize medical care to be administered by a trained medical professional.

C. I agree to give SoCal Yoga Social permission to put me on the mailing list and to use photographs &/or videos of myself or my child for any SoCal Yoga Social promotional materials. I understand that my child will not be identified by name, nor will any compensation be extended for such use.


Name *
Minor Name (leave blank if only yourself)
Minor Name (leave blank if only yourself)