Waiver & Release: LGBTQ+ Qigong
Waiver and Release
The LOFT LGBTQ+ Community Center (Legally known as The Lesbian and Gay Community Services Center, Inc.)

I wish to participate in the Qigong events (“Events”) of The LOFT LGBTQ+ Community Center (The LOFT), I understand that signing this Waiver and Release is a prerequisite for participation in the  Qigong events taking place in a virtual format on zoom  on Wednesdays from 8am-9am ET and repeating weekly. 

I understand that there are risks and dangers inherent in participating in the Events. I understand that I am solely responsible for my health and safety, and I acknowledge that I am physically capable of participating in and completing the Events.

I agree to abide by all rules established by The LOFT and the Events' leader.

I assume all risks associated with the Events and release and hold harmless The LOFT, its officers, employees, agents, contractors, vendors, sponsors, and volunteers, including the Qigong instructor, (collectively the “Released Parties”).

I intend by this Waiver and Release to release and to waive my rights and discharge all of the Released Parties from all claims for damages for death, personal injury, or property damage which I may have, or which may accrue to me as a result of my participation in the Events. I understand and agree that this Waiver and Release is binding on my heirs, assigns, and legal representatives.

I grant permission to The LOFT to use my photographs, motion pictures/videos, recordings or any other record for any legitimate promotional purposes for The LOFT unless I specifically tell The LOFT not to use my image. The Events’ leader will ask your permission to take photographs, motion pictures/videos, recordings, or any other record of you. My participation attests to my agreement to abide by these practices.

Should any portion of this Waiver and Release be judicially determined invalid, voidable or unenforceable, the portion of this Waiver and Release shall be severable from the remaining portions and the invalidity, voidability, or unenforceability shall not affect the validity, effect, enforceability, or interpretation of the remaining provisions of this Waiver and Release.
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First Name *
Last Name *
Email Address (The address you would use to RSVP for activity) *
By checking this box, typing my name below, and dating this form I am electronically signing my agreement to this waiver.  I understand that this agreement is valid for the remainder of physical activities I participate in for the calendar year and does not need to be completed on an event by event basis. *
Gerekli
I have read this Waiver and Release, fully understand its contents, and I sign of my own freewill. *
Put your full name below.
Date Signed *
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