1. Participant Information
Participant full name: ______________________________
Date of birth: ______________________________
Phone: ______________________________
Email: ______________________________
Session date: ______________________________
Known animal allergies: ______________________________
Emergency contact name: ______________________________
Relationship: ____________________ Phone: ____________________
Minor participants (complete only if a participant is under 18; minimum age to enter the puppy area is 8). You can add multiple here.
Minor's full name: ____________________ Date of birth: __________
2. Assumption of Risk
I understand that the Activities involve live animals and physical movement and carry risks that cannot be fully eliminated even with reasonable care, including but not limited to:
Bites, nips, scratches, jumping, and other unpredictable puppy behavior
Illnesses or conditions that can pass from animals to people, such as ringworm, parasites, or bacterial infections
Allergic reactions to puppies, their fur, dander, or saliva, or to cleaning products
Puppy accidents, such as urine or feces, on my body, clothing, or belongings
Slips, trips, and falls, including on mats or floors
Muscle strains, sprains, and other injuries from yoga or physical movement
Injuries caused by other participants
Loss, theft, or damage to my personal belongings
Conditions at off-site event locations that the Company does not control
I KNOWINGLY AND VOLUNTARILY ASSUME ALL OF THESE RISKS, BOTH KNOWN AND UNKNOWN, EVEN IF THEY ARISE FROM THE NEGLIGENCE OF THE RELEASED PARTIES (DEFINED BELOW).
3. Health and Participation
I confirm that:
I am responsible for my own health, for knowing my physical limits, and for managing any allergies or sensitivities to animals.
Yoga is optional. I may modify any pose or skip the yoga and simply spend time with the puppies.
If I am pregnant, I will join the yoga portion only if my doctor has recommended or approved it.
I will not attend if I am sick or have recently been around sick animals.
The Activities are recreational relaxation and fitness activities only. They are not therapy, counseling, or medical, psychological, or mental health treatment, and the Company has not promised me any health or therapeutic benefit.
4. Release of Liability
"Released Parties" means TX MADE ROYALTY LLC (Le Frenchie Yoga) and its owners, members, employees, instructors, contractors, volunteers, and agents, and the owners of any location where Activities take place.
TO THE FULLEST EXTENT PERMITTED BY LAW, I RELEASE, WAIVE, AND DISCHARGE THE RELEASED PARTIES FROM ANY AND ALL CLAIMS, DEMANDS, AND LIABILITY FOR INJURY, ILLNESS, DEATH, OR LOSS OR DAMAGE TO PROPERTY ARISING FROM OR RELATED TO MY PARTICIPATION IN THE ACTIVITIES, INCLUDING CLAIMS ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES. I AGREE NOT TO SUE THE RELEASED PARTIES FOR ANY CLAIM I HAVE RELEASED.
5. Indemnification
I agree to defend, indemnify, and hold harmless the Released Parties from any claims, damages, losses, and expenses, including reasonable attorneys' fees, arising from my participation, my violation of the Company's rules or Terms of Use, or any injury or damage I cause to other people, the puppies, or Company property.
6. Rules and Removal
I agree to follow all Company rules and staff instructions, including the Puppy Care Rules in the Terms of Use. I must remove my shoes, sanitize my hands, and remain seated while holding a puppy. Staff may remove me from any Activity if I do not follow the rules, and I will not receive a refund, credit, or reschedule.
7. Emergency Medical Care
If I am injured or become ill during an Activity and cannot make my own decisions, I authorize the Company to contact emergency services and my emergency contact. The Company is not required to provide medical care, and I am responsible for the cost of any emergency treatment or transport I receive.
8. Photo and Video Consent
The Company photographs and records video during Activities and may use them on its website, social media, and advertising, as described in the Terms of Use. Other guests may also take photos and video. By signing, I give the Company permission to use my image, likeness, and voice (and, if checked below, my minor's) without payment.
☐ I do NOT want to appear in Company photos or video. (Please also tell staff at check-in.)
Minors (parent/guardian check one): ☐ I GIVE permission ☐ I DO NOT give permission for my minor to appear in Company photos and video.
I can ask the Company to remove published photos or video of me or my minor by emailing joann@lefrenchieyoga.com.
9. Minors (applies only if a minor is listed in Section 1)
I am the parent or legal guardian of each minor listed above. I agree to this Waiver on my own behalf and on behalf of my minor, and I agree that:
My minor may participate in all yoga and puppy activities, and I accept the risks described in Section 2 on their behalf.
If my minor is fifteen (15) or younger, I will remain in the room for the entire session.
I am responsible for my minor's behavior and will make sure they follow all rules, including remaining seated while holding a puppy.
I will indemnify and hold harmless the Released Parties from any claims made by or on behalf of my minor, and I am responsible for any injury, damage, or loss my minor causes.
10. General Terms
Governing Law and Disputes: This Waiver is governed by the laws of the State of Texas. Any dispute will be resolved through binding arbitration in Collin County, Texas, on an individual basis, as described in the Terms of Use.
Severability: If any part of this Waiver is found unenforceable, the rest remains in full effect, and the unenforceable part will be limited only as much as necessary.
Duration: This Waiver applies to my current session and all future Activities with the Company unless I revoke it in writing.
11. Acknowledgment and Signature
BY SIGNING BELOW, I CONFIRM THAT I HAVE READ AND AGREE TO EVERY SECTION OF THIS WAIVER, INCLUDING:
THE ASSUMPTION OF RISK (SECTION 2);
THE HEALTH AND PARTICIPATION STATEMENTS (SECTION 3);
THE RELEASE OF LIABILITY, INCLUDING FOR THE RELEASED PARTIES' OWN NEGLIGENCE, AND MY PROMISE NOT TO SUE (SECTION 4); AND
IF I LISTED A MINOR, THE MINORS SECTION, WHICH I AGREE TO ON MY MINOR'S BEHALF (SECTION 9).
I UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE FOR NEGLIGENCE. I SIGN FREELY AND VOLUNTARILY. I AM AT LEAST 18 YEARS OLD.
I am signing for: ☐ Myself only ☐ My minor(s) only ☐ Myself and my minor(s)
Signature: ______________________________
Printed name: ______________________________
Relationship to minor (if applicable): ______________________________
Date: _____________________________