Liability Waiver for the Nauli: Theory & Practice Workshop

1. I recognize that nauli involves physical activities which may be strenuous and may cause injury. I understand that I must judge my own capabilities with respect to any activity. By my participation in this workshop taught by Jason Levitt, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, that I may incur.

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any activity. I represent and warrant that I am physically and mentally fit and have no medical condition which would prevent my full participation in any activity. I acknowledge that it is my responsibility to inform Jason Levitt of any injury or other condition that might affect my ability to participate in any activities, and to inform him immediately if an injury occurs.

3. Although I acknowledge there is no obligation for any person to provide medical care during, prior to, or after any activity related to the Nauli: Theory & Practice Workshop, I hereby give permission for attendees to provide first aid, administer prescribed or OTC medication as prescribed or directed by participant, and/or aid in seeking emergency medical treatment as needed. IN THE EVENT MEDICAL TREATMENT IS PROVIDED TO ME, I HEREBY WAIVE ANY CLAIM AGAINST Jason Levitt FOR ANY INJURY, DAMAGES OR DEATH CAUSED BY THE NEGLIGENT PROVISION OF SUCH MEDICAL CARE.

4. I, MY HEIRS OR REPRESENTATIVES RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE OR ASSERT CLAIM AGAINST Jason Levitt FOR ANY INJURY, DAMAGES OR DEATH CAUSED BY THEIR NEGLIGENCE. I KNOWINGLY, VOLUNTARILY AND EXPRESSLY WAIVE ANY CLAIM I MAY HAVE AGAINST Jason Levitt AS A RESULT OF PARTICIPATING IN The Nauli: Theory & Practice Workshop.

5. I have carefully read this waiver and release, I understand that I have the opportunity to negotiate its terms with Jason Levitt. By signing this form, I voluntarily agree to the above terms, releasing Jason Levitt from its own negligent acts.