Minor Participant Waiver, Release of Liability, and Assumption of Risk Form Minor Participant Waiver, Release of Liability, and Assumption of Risk Form PhoneThis field is for validation purposes and should be left unchanged.Minor Participant Name(Required) First Last Minor Participant Email(Required) Minor Participant Phone(Required)Minor Participant Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Terms and Conditions(Required)AVA V. MORENO & THE WORK By Ava, LLC Minor Participant Waiver, Release of Liability, and Assumption of Risk Form I, __________________________________ (“Parent/Legal Guardian”), am the parent and/or legal guardian of __________________________________ (“Minor Participant”), who is under the age of 18 years old. I hereby give permission for Minor Participant to voluntarily participate in programs, classes, workshops, trainings, retreats, teacher trainings, and/or movement activities provided by Ava V. Moreno and/or THE WORK By Ava, LLC (“Trainer”), which may include, but are not limited to, yoga, Pilates, barre, mobility training, stretching, weight training, resistance training, aerobic or cardiovascular exercise, hands-on assists, partner work, and other movement or wellness activities. In consideration of Trainer’s agreement to allow Minor Participant to participate in these activities, I, on behalf of myself, Minor Participant, and our respective heirs, executors, administrators, and assigns, do hereby release, waive, discharge, and hold harmless Trainer, THE WORK By Ava, LLC, and their respective owners, employees, contractors, agents, representatives, successors, and assigns from any and all claims, demands, causes of action, liabilities, damages, costs, or expenses, whether known or unknown, present or future, arising out of or connected with Minor Participant’s participation in any activity, class, training, retreat, workshop, or program. THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF: 1. Equipment belonging to Trainer, THE WORK By Ava, LLC, a studio, facility, or Minor Participant that may malfunction or break; 2. Slips, trips, falls, dropping of equipment, or collisions with objects or persons; 3. Physical adjustments, hands-on assists, spotting, or partner exercises; 4. Negligent instruction, supervision, or facility conditions; and/or 5. Participation in physical movement activities or training of any kind. I understand and acknowledge that participation in fitness, movement, yoga, Pilates, and wellness activities involves inherent risks, including but not limited to muscle strains, sprains, fractures, dizziness, fainting, abnormal blood pressure, emotional stress, aggravation of pre-existing conditions, serious injury, permanent disability, or death. I knowingly and voluntarily assume all such risks on behalf of Minor Participant. I represent and warrant that Minor Participant is physically fit to participate in these activities and that Minor Participant has no medical condition that would prevent safe participation. I understand that it is recommended that Minor Participant obtain medical clearance from a physician prior to participating in any exercise or fitness program. If I choose not to obtain such medical clearance, I acknowledge that I am doing so at my own risk and on behalf of Minor Participant. I further authorize Trainer and/or THE WORK By Ava, LLC to obtain emergency medical treatment for Minor Participant if deemed necessary during participation, and I understand that I am solely responsible for any medical costs incurred. I understand that participation in teacher training programs may include demonstration teaching, observation, physical movement practice, verbal feedback, partner exercises, and hands-on learning experiences. I acknowledge that Minor Participant may participate in these educational activities voluntarily and at their own risk. I acknowledge that I have carefully read this document in its entirety and fully understand that it is a release of liability and a legal agreement. By signing below, I voluntarily agree to all terms and conditions stated herein and waive any right that I, Minor Participant, or our successors may have to bring legal action or assert claims against Trainer or THE WORK By Ava, LLC for negligence or any other claim arising from participation. This form is an important legal document that explains the risks associated with participation in physical activity and movement-based training. It is critical that you read and understand this document completely before signing. If you do not understand any part of this document, it is your responsibility to seek clarification prior to signing. I confirm that I have read and understood the terms outlined above.Parent/Legal Guardian Name(Required) First Last Parent/Legal Guardian Phone(Required)Parent/Legal Guardian Email(Required) Relationship to Minor ParticipantParent/Legal Guardian Signature(Required)Minor Participant Signature(Required)