Class Waiver
September 19, 2020

BARRE FLOW at Immersive Van Gogh and Yoga at Immersive Van Gogh

Health & Fitness Liability Waiver/Informed Consent Form

I have voluntarily enrolled in a class offered at Immersive van Gogh. I recognize that the class will involve physical activity including, but not limited to, muscle strength, endurance training, and other various fitness activities. I also recognize that the space will have moving pictures and music which may cause imbalance or distraction during class.

I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this exercise class. I am aware that an examination by a physician should be obtained by anyone prior to commencing a fitness and/or exercise class, or initiating a substantial change in the amount of regular physical activity performed. If I have chosen not to obtain a physician’s consent prior to beginning this fitness class, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in exercises that are appropriate for the current status of my health.

I acknowledge that there will be photos taken during the class that can be used by Lighthouse Immersive Inc. and its affiliates. I give my consent for these photos to be taken and used. I agree not to hold Lighthouse Immersive Inc and its affiliates responsible for the actions or omissions of the other class participants.

I have been informed, understand, and am aware that strength, flexibility, and aerobic exercise are potentially hazardous activities. I also have been informed, understand, and am aware that fitness activities involve a risk of injury and that I am voluntarily participating in these activities with full knowledge, understanding, and appreciations of the dangers involved.

I hereby waive and release Lighthouse Immersive Inc. and its affiliates from any and all claims, costs, liability and expense for any injury, loss or damage whether known, anticipated or unanticipated arising from my voluntary participation and enrolment.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS FORM IN ITS ENTIRETY AND FULLY UNDERSTAND IT. I UNDERSTAND THAT IT CONTAINS A RELEASE OF LIABILITY. BY AGREEING TO THIS DOCUMENT UPON PURCHASE, I AM WAIVING CERTAIN RIGHTS I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST LIGHTHOUSE IMMERSIVE INC. AND ITS AFFILIATES.