610 Eastbury Drive Suite 2 | Iowa City, Iowa 52245
(319) 541-4997
serenity.yp@gmail.com
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Emergency Contact Information




Studio Liability Release
Yoga 
&
 Pilates
Waiver
and
Informed
Consent


I HEREBY AGREE TO THE FOLLOWING: I am aware that participation in Yoga, Pilates or TRX may result in an accident, or injury and I assume the risk connected with the participation in Yoga, Pilates,and TRX and represent that I is in good health and suffers from NO physical impairment that would limit my use of Serenity Yoga & Pilates Studio, LLC facilities. I acknowledge that Marcie Evans, Justin Evans, or any other AGENT representing Serenity Yoga & Pilates Studio, LLC have not and will not render any medical services including medical diagnosis of my physical condition. I specifically agree that Marcie and Justin Evans or any other AGENT representing Serenity Yoga & Pilates Studio, LLC shall not be liable for any claim, demand, cause of action of any kind resulting from or related to my use of the facilities or participation in any sport, exercise, or activity within or without the studio premises, and I agree to hold Marcie Evans, Justin Evans, or any other AGENT representing Serenity Yoga & Pilates Studio, LLC harmless from same. 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. My electronic signature indicates my physician has cleared me to exercise.