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Disclaimer & Liability Waiver

Disclaimer & Liability Waiver

In anticipation of the program, please fully complete the form below.

Disclaimer and Liability Waiver

Name*
First Last
Gender*
Date of birth*
Day
Month
Year
Address*
Street Address City Country
Phone (WhatsApp if available)*
Email*
Enter Email Confirm Email
Your Passport Number*
Your passport issuing country*
Your passport expiration date*
Emergency Contact Name*
First Last
Emergency Contact Relation*
Emergency Contact Phone (WhatsApp if available)*
Emergency Contact Email*
Enter Email Confirm Email
Anticipated Arrival Date*
DD slash MM slash YYYY
Anticipated Departure Date*
DD slash MM slash YYYY
Describe Your Overall Health*
Please list anything you think we should know concerning your health conditions, including but not limited to medication, mental health, stress, and any physical limitations.. Be sure to include any dietary restrictions and/or allergies.
I am in good general health and feel physically capable and ready to engage in physical activity. I recognize the potential risk in any physical exercise or work and take full responsibility for determining my own level of participation based on my body’s responses. I knowingly, voluntarily and expressly waive any and all claims I may have against Doron Hanoch or those working with him, for injury, damages or any loss that I may sustain at any Doron Yoga program, no matter the reason. The information shared by Doron is not intended as a diagnostic, or as a replacement for any work with a healthcare professional.*
- I understand and agree.
Any program may raise personal issues or challenges: I welcome this and allow it as part of the process of personal growth and awareness. For these reasons, the experience may be challenging and demanding, and in participating I accept responsibility for my behavior during my stay. I agree to participate in the spirit of a yoga and Zen community and with respect for the venue and will be mindful and caring towards the other guests, staff and location. If at any time, in the sole opinion of Doron Yoga management, I put myself or others at risk, I may be asked to remove myself from a specific space. In extreme circumstance, in the sole discretion of Doron Yoga management, I may be asked to leave. If I am asked to leave due to the Doron Yoga management determination that I pose a danger to myself or others, I will receive no refund of tuition, room, board or other fees. I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event.*
- I understand and agree.
I am responsible for my own travel to and from the venue. *If travel to the venue is prevented for any reason outside of the control of Doron Yoga including but not limited to weather, governmental action, and airline cancellation, there will be no refund of tuition, room, board or other fees. I may, after consideration of the circumstances by Doron Yoga, receive credit toward a future event. I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event.*
- I understand and agree.
Doron Yoga shall always do its best but is not liable for any failures to perform delivery of this event beyond its control. This covers but it's not limited to: natural disasters, war, ‘acts of God’, epidemics, closure of airports, civil strife, governmental actions, accidents or failure to perform by third parties, and other force majeure events. Doron Yoga accepts no responsibility for delay or cancellation of any flights, buses or other forms of transport. In the event of failure to perform delivery of this program caused by natural disasters, war, ‘acts of God’, epidemics, closure of airports, civil strife, governmental actions, accidents or failure to perform by third parties, and other force majeure events, you may be offered credit toward a future event but you are not entitled to refund of tuition, room, board, or other fees paid. * I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event.*
- I understand and agree.
Doron Yoga cannot accept responsibility for loss or damage of personal possessions or valuables of the customer; nor can it accept responsibility for any medical conditions and/or circumstances that may arise during the course I am applying for and my stay at the Center. I will organize and have my own adequate medical and travel insurance before I arrive to a Doron Yoga program. I understand that some locations make emergency medical access very difficult. In the event of loss or damage of personal possessions or valuable, there will be no refund of tuition, room, board, or any other fees. I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event.*
- I understand and agree.
Photography and video may be used for documentation, marketing, and other legal purposes determined by Doron Yoga. I release any claims or rights for any image and grant to Doron Yoga to use in any legal activity. I understand and agree that photographs or videos shared with me by Doron Yoga, or those working with him, are solely for the use of the Doron Yoga and cannot be shared or used in any other way without the express written consent of Doron Hanoch. I solely release any claims for any work I have done for Doron Hanoch, Doron Yoga, or any of Doron’s affiliates.*
- I understand and agree.
I understand and accept the Doron Yoga Cancellation Policy: If Client cancels more than 60 days before the Retreat or Training start date, Client may request a partial refund (less a cancellation fee equal to the deposit and processing fee plus $200 Handling fee). Grant of a partial refund is within the sole discretion of Doron Yoga, All Retreat and Training payments become non-refundable 60 days before the Retreat or Training start date. I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event.*
- I understand and agree.
I understand and accept that confirmation of my participation does not necessarily mean that Retreat or Training trip is confirmed to run. oron Yoga asks that Client to book a flexible travel or refrain from purchasing non-refundable travel until receipt of an email confirmation from the Doron Yoga staff (the latest 30 days before Retreat start date). A Retreat will not take place unless there is a minimum of six (6) participants.*
- I understand and agree.
I understand that my deposit is non-refundable I agree I will not order a “chargeback” of any credit card payment made for tuition, room, board, or other fees toward the event*
- I understand and agree.
I fully read and agreed to Doron Yoga Terms & Conditions. Available here: https://doronyoga.com/booking-terms-conditions/*
- I understand and agree.
By signing below, I certify all information provided is true and accurate. By signing below I confirm I agree to all above terms and conditions. (Please use your electronic signature below)*

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