Wellness Questionnaire

In consideration for my participation in the fitness activities at Zen Rocks Mani, I legally bind myself and my heirs, executors and administrators, and hereby wave, fully and finally any causes of action or claims against Zen Rocks along with its owners, directors, officers, employees, members, shareholders, representatives, agents and assignees from any damage of any nature whatsoever, including, but not limited to any personal injuries incurred by the undersigned patron, user/subscriber/member of the Zen Rocks, directly or indirectly resulting from participating in the services and/or activities undertaken at Zen Rocks, as well as any personal injury sustained by the undersigned patron’ s presence on the real property of Zen Rocks Whether or not participating in or utilizing the services and/or activities of Zen Rocks.

I understand that from time to time during classes at Zen Rocks, instructors may physically adjust students’ form when making yoga postures. If I do not want such physical adjustments, I will inform the instructor at each class or session I attend. I also acknowledge that if I do not wish to receive such adjustments, it is my responsibility to inform the instructor when an adjustment has gone as far as I desire at that time. I acknowledge that it is my responsibility to ascertain that there is no medical reason to prevent my participation at Zen Rocks activities. I have read and understand the above policies.