RELEASE FORM

I hereby state that I am over 21 years of age and in sufficient mental capacity to understand all statements made in this release form.

I hereby release Hema Yoga, Mercury Yoga, Hema Ganapathy, the facility providers and / or any other persons who may teach or assist at Hema Yoga or Mercury Yoga, from any and all liability, negligence, or other claims, arising from, or in any way connected with my participation in this set of classes/services or any other classes/services offered by said individuals or organizations.

I acknowledge that I shall not now, or at any time in the future, bring any legal action against Hema Yoga, Mercury Yoga, Hema Ganapathy, the facility providers and/or any other persons who may teach or assist at Hema Yoga, Mercury Yoga; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns.

I understand that these sets of classes/services are presented as is and that they are not a substitute for any private or couple counseling. I also understand that Hema Ganapathy is not a certified counselor of any kind and that I am myself solely responsible for the results of my actions when practicing what I have or will learn from these sets of classes/services.

These classes/services are designed to provide information and educate. I take these classes/services with the understanding that Hema Ganapathy is not engaged in rendering medical, psychological, or other professional services.

If medical or other expert assistance is required, I will seek the services of a competent professional