VI Wellness Flow, LLC dba Flow with YogiMandi

During Activities offered by the Company, students may be highlighted in efforts to promote our wellness practice and

achievements. This form authorizes the use of children’s faces and voices on social media platforms along with electronic or print

media for marketing purposes. However, no full names of students are ever to be used on the Internet in conjunction with pictures.

Name(s) of Child/Children: _______________________________________ Birthdate(s):_____________________

Address: ____________________________________________________________________________________

City: _______________________________________________ State: ________ Zip Code: __________

Parent’s Phone Number: _____________________________ Email: ____________________________________

1. I grant VI Wellness Flow, LLC dba Flow with Yogi Mandi (the "Company") permission to use photographs, videos, and/or

recordings of my child for social media, marketing, and promotional use, including but not limited to advertising, website,

and print materials.

2. I understand that my child's full name will never be used publicly in conjunction with their image or video.

3. I acknowledge that participation is voluntary and that I will not receive financial compensation for the use of such media.

4. I understand that published media may remain in circulation even after my child’s participation has ended.

5. I may withdraw my consent in writing at any time, and the Company will make reasonable efforts to discontinue

future use; however, previously published content may not be fully removable.

6. I acknowledge that other parents or guardians may share images that incidentally include my child.

7. I certify that I am the parent or legal guardian with the authority to provide this consent.

SECTION 2: WELLNESS PARTICIPATION WAIVER

I also agree to the following terms related to my child's participation in yoga and wellness classes, workshops, and

events provided by the Company:

1. I grant permission for my child to participate in wellness activities (the “Activities”) hosted by the Company at physical

locations or virtually.

2. I understand that the Activities may include physical movement and instruction in yoga, mindfulness, and holistic

wellness.

3. I acknowledge the potential risks associated with physical activity, including the risk of injury.

4. I agree it is my responsibility to consult with my child’s physician to determine if participation is appropriate.

5. I affirm that my child has no medical condition that would prevent safe participation in the Activities.

6. I assume full responsibility for any risks, injuries, or damages my child may experience as a result of participation,

including those arising from the negligence of the Company or its instructors.

7. I understand the Company reserves the right to refuse participation based on medical or behavioral concerns.

8. I release and discharge the Company, its employees, representatives, and affiliates from any and all claims or liabilities

arising from my child’s participation.

9. This agreement shall be governed by the laws of the United States Virgin Islands. Any legal matters shall be resolved in the

appropriate jurisdiction within the Virgin Islands.

10. I have read, understood, and voluntarily agree to the terms of this waiver and release on behalf of my child and our heirs,

legal representatives, and assigns.

Signature of parent/guardian: __________________________________

Date: _____________________________________________________