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Yoga Student Waiver
Yoga Student Liability Waiver
How did you hear about me?
What is the level of your yoga pracitce?
I've never practiced before
Beginner (a few months of practice)
Intermediate (1 year or more, confident in advanced postures)
Advanced (Several years or more, undertand proper alignment, and capable of adanced postures))
Do you have any injuries or health concerns I should know about?
Do you take any medications?
Are you pregnant or trying to get pregnant?
Do you smoke?
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I agree with the following points: 1). I am participating in classes or services during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved 2). I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities. 3). In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program. 4). In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against the instructor for injuries or damages that I may sustain as a result of participating in classes or workshops with her.
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