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In-Studio Yoga Session Liability Waiver

Please be mindful of the space around you and the personal space of others while inside the studio.

If you have been exposed to Covid-19 without precautions in place, or have been around someone who has, please stay home. If you have traveled outside of the United States within the last 14 days, or are experiencing any of the following signs or symptoms such as: fever/body aches, persistent coughing, difficulty breathing (not related to smoke inhalation or poor air quality), diarrhea/vomiting/nausea, loss of taste and/or smell, or any other flu-like symptoms, PLEASE stay home and contact your primary care physician. 


Please monitor your symptoms and exposure on your own. 


By checking the “terms and conditions” box, you acknowledge and agree to the following terms and conditions: 


I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility adheres to the current health and safety recommendations. 

I acknowledge that Alexis Capano/Four Acres Yoga has put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of her abilities. 


I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others.


I acknowledge that I may increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I will comply with all set procedures to reduce the spread while in attendance.


I attest that:

  1. I am not experiencing any symptom of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.

  2. I have not traveled internationally within the last 14 days.

  3. I have not traveled to a highly impacted area within the United States in the last 14 days.

  4. I do not believe I have been exposed to someone with a suspected and/or confirmed active case of COVID-19.

  5. I am not pending Coronavirus/Covid-19 test results nor have I been directed to self-quarantine by the state or local public health departments.

  6. I am following current recommended guidelines as much as possible, to include limiting any purposeful exposure to COVID-19.

I acknowledge having read and understood these terms and conditions in full and hereby release and agree to hold Alexis Capano/Four Acres Yoga harmless from any causes of action, claims, demands, damages, costs, expenses and compensation for damage to myself, or others that I may have made an additional reservation for, that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, services received for myself and, if applicable, my guest. 

I understand that if I do not agree to or accept the terms and conditions as detailed above that there are alternative, online options to practice with Four Acres Yoga available to me and I am not being discriminated against. 

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