Retreat Form — The Hot Yoga Barre

Email Address

Emergency Contact 1

Full Name, Mobile Phone, & Email

Emergency Contact 2

Full Name, Mobile Phone, & Email

Special Dietary Restrictions or Requests:

Describe what you would like to get out of the retreat and how we can make it special for you:

Anything else you would like to share with us:

If sharing a room, name of person you would like to share a room with or write "please pair with other travelers"

The person you are sharing a room with must fill out a SEPARATE booking form.

Workshop topics I am most interested in:

Included in the cost of the retreat.

Other excursions I am interested in:

PLEASE READ CAREFULLY – BY SIGNING THIS DOCUMENT YOU MAY BE WAIVING YOUR LEGAL RIGHT TO A JURY TRIAL TO HOLD THE PROVIDER LEGALLY RESPONSIBLE FOR ANY INJURIES OR DAMAGES RESULTING FROM RISKS INHERENT IN THE SPORT OR RECREATIONAL OPPORTUNITY OR FOR ANY INJURIES OR DAMAGES YOU MAY SUFFER DUE TO THE PROVIDER’S ORDINARY NEGLIGENCE THAT ARE A RESULT OF THE PROVIDER’S FAILURE TO EXERCISE REASONABLE CARE. In consideration of my participation in The Hot Yoga Barre retreat and associated events, activities, and excursions (collectively referred to as “Retreat”) and the services of The Hot Yoga Barre, LLC, its agents, owners, officers, volunteers, participants, employees, independent contractors, instructors, sponsors, and all other persons or entities acting in any capacity on its behalf, as well as its successor and assigns,(collectively referred to as HYB) I, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate (collectively referred to as “Participant”), hereby agree to release and discharge HYB as follows: (a)“Activities” shall include walking, hiking, yoga, pilates, barre, core strength exercises, swimming, running, dynamic and joint mobility exercises, stretches, training, instruction, spa services, excursions and events, transportation in released (defined below in this paragraph) or other vehicles, traveling to and from a Retreat and all other activities associated with the Retreat. “Risks” shall include, without limitation, vehicular traffic, road and trail conditions, health conditions, weather, equipment failure, driver error, participant error, food provided, facilities, actions of other people, and the actions, negligence and carelessness of the Released, as defined below. “Released” shall include the Retreat organizers, booking agents, hosts, website hosting partners, retreat hosts, leaders, volunteers, officers, directors, employees, contractors and agents, the owners or operators of any Retreat facilities or equipment provided, the sponsors and partners of the Retreat. Waiver of Liability and Release. Participant does hereby release and forever discharge HYB from any and all liability, claims, and causes in action, which arise or may hereafter arise or are in any way connected to Participant’s involvement in a Retreat. Participant understands that this Agreement discharges HYB from any liability or claim that the Participant may have against HYB with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Participant’s involvement in a Retreat, whether caused by the negligence of HYB, or otherwise. Participant also understands that HYB does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. Participant understands and acknowledges that the Activities in which Participant will voluntarily engage in at a Retreat bear certain known inherent Risks that contribute to the unique character of these Activities, and that HYB cannot eliminate, alter, or control these inherent risks. These Risks include those inherent in fitness activities, travel, and including but not limited to other defined activities. 2. Indemnification and Hold Harmless. Participant hereby agrees to indemnify and hold harmless HYB from any liability, claims, and causes in action, which are in any way connected to Participant’s involvement in a Retreat, or use of HYB facilities or equipment, including any such claims which allege negligent acts or omissions of HYB. 3. Medical Care. Participant does hereby release and forever discharge HYB from any liability, claims, and causes in action that arise or may hereafter arise on account of any first aid, treatment, or service rendered or not rendered in connection with the Participant’s involvement in a Retreat. 4. Certification, Acknowledgements, Assumption of Risk, Health and Safety. Participant hereby certifies that there are no health related reasons or problems that preclude or restrict participation in the Retreat, that I am physically fit, able to walk on unstable surfaces, such as trails, paths, grass and roads, and have not been advised otherwise by a qualified medical person. I hereby assume all risks of participation in the Activities and the Retreat, including without limitation all Risks, whether such risks are caused (a) by the negligence or carelessness of the retreat or excursion leaders or drivers, (b) the negligence or carelessness of myself or (c) from dangerous or defective equipment or property owned or provided in any way by the Released. I acknowledge that the Retreat is, or may be an extreme test of my physical and mental limits and carries with it the potential for serious injury, property loss and even death. Participant must determine if he or she is sufficiently fit to participate. Participant hereby expressly and specifically assumes the risk of injury or harm in the Participant’s involvement in the Retreat, including, but not limited to all Risks. Participant agrees that his/her involvement in the Retreat is purely voluntary, and Participant elects to participate in the Retreat in spite of the Risks. 5. Interpretation and Governing Law. This document shall be construed broadly to provide a release and waiver to the maximum extent permitted under Virginia law. If any portion of this document shall be held as invalid it is agreed that the balance shall continue to be in full force and effect. This document shall be governed by the laws of the State of Virginia. Venue for any legal action shall be in the state or federal courts of The City of Richmond or State of Virginia as applicable. 6. Personal Property. Participant acknowledges and agrees that he/she is responsible for equipment and all personal property during the Retreat and that the Released are not responsible in any way for such property whether it is lost, stolen or damaged. 7. Words and Images. Participant understands that during a Retreat he/she may be photographed, videotaped and or words may be recorded and authorizes and allows The Hot Yoga Barre and its partners to use such images, words and likenesses for marketing, on websites, social media, in brochures or other writings and any other legitimate purpose. Participant furthers waives any and all rights to review or approve any uses of the images, any written copy or finished product. Participant does hereby grant and convey unto HYB all right, title and interest in any and all photographic images, video or audio recordings made during the Retreat, including but not limited to royalties, proceeds, or other benefits derived. 8. Applicable Law, Forum and Attorney’s Fees. Participant agrees that the purpose of this agreement is that it shall be an enforceable release of liability and indemnity as broad and inclusive as is permitted by law. Participant agrees that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement. 9. Travel Arrangements Participant understands that all travel arrangements and associated costs are participants responsibility and at participants own risk HYB will not be held liable for any consequences arising from delays or cancellations in any of the companies participants may have made arrangements with, or for any irregularities in documentation required for travel. Transfers to/from the retreat are at participants own cost, unless otherwise specified. 10. Insurance: Since last minute injuries, illnesses, work emergencies, or deaths in the family unfortunately do happen, travel insurance is HIGHLY recommended. A travel insurance plan will often reimburse you for the retreat or training, airfare, and other non-refundable expenses. There are many companies offering this service online and purchase of travel insurance is at participants cost. We also strongly encourage participants to ensure they are covered by medical insurance should any medical issues arise. Your safety is ultimately your own responsibility. All risks associated with not being covered by appropriate insurance are assumed by the participant. 11. Payment All payment terms and conditions are listed on The Hot Yoga Barre website related to your specific retreat. A non-refundable deposit is due at the time off booking. All balances due must be paid in full by the dates outlined or payments made to date will be forfeited. If a credit card is used for payment an additional 5% processing fee will be added to the total due. 12. Cancellation by you The retreat deposit is non-refundable. 50% of retreat payment (minus deposit) is refundable if cancelled in writing prior to the date stated on the website. 100% of retreat payment (minus deposit) is refundable if cancelled in writing prior to the date stated on the website as long as you find someone to take your spot and they are paid in full by the date stated on the website. Cancellation requests must be made in writing and submitted to hello@thehotyogabarre.com. 13. Cancellation by The Hot Yoga Barre (a) In the unlikely event the retreat does not meet the total required number of registrants and the retreat is cancelled by The Hot Yoga Barre for this reason, registrants will be reimbursed 100%. We are not liable for any travel related expenses you may incur as a result. (b) We do not accept any liability for cancellations, delays or changes caused by war, threat of war, terrorist actions or threats, closure of airports, civil strife, industrial action, natural disaster, technical problems to transport, staff cancellations, unforeseen changes in your personal circumstances or other events beyond our control.  14. Bookings Bookings are for the stated period of the retreat. There are no refunds for an unused portion of the retreat. If the reason for cancellation is covered under the terms of your Insurance Policy, you may be able to make a claim on your insurance. 15. Amendments  Occasionally, changes may have to be made (e.g., instructors, class times, class types, excursions, or other arrangements), which we reserve the right to do at any time. If your accommodation has to be changed, we will do our utmost to provide accommodation of a similar rating. If a significant change becomes necessary, we will inform you as soon as reasonably possible if there is time before your departure. 16. Injuries or Health Conditions The Hot Yoga Barre or retreat hosts are not liable for any injuries you may incur. Fitness classes, excursions, and other events are undertaken at your own risk. We are not liable for any medical or psychiatric conditions, which may develop during or subsequent to the retreat. We are not liable for loss of, or damage to, your personal property. 17. Complaints If you have a problem during your retreat, please inform the organizer immediately and he/she will endeavor to put things right. Please note that we cannot be responsible for the individual behavior of any group member or other guest sharing your accommodation. 18. Retreat Description I have read and understand the description of the retreat on the HYB website and I understand what is included/excluded in the retreat cost. Specifically, but not limited to, the following are additional expenses paid by the participant: airfare to/from the retreat location, optional excursions, all alcoholic beverages, any food or drink costs outside of the listed meals, gratuities, travel insurance, visas, in town transportation, private fitness lessons, laundry service, spa and body treatments.

Type your FULL LEGAL NAME as an electronic signature accepting the above terms and conditions.

Costa Rica Booking Form