YogaFaith Waiver

Name

Yoga Experience

Please List Any Medical Restrictions or Conditions (Type N/A if None)

Anything Specific You Are Looking to Gain From Yoga?

I HEREBY CONSENT AS A PARTICIPANT IN YOGAFAITH FROM ANY KNOWN OR UNKNOWN INJURY, ACCIDENT, OR HAZARD PREVIOUSLY, DURING, OR AFTER PARTICIPATION IN A YOGAFAITH SESSION. I CANNOT HOLD YOGAFAITH PERSONALLY RESPONSIBLE FOR ANY LIABILITY. (Initial Below)

I RECOGNIZE THAT ANY FORM OF PHYSICAL ACTIVITY HAS A POTENTIAL RISK OF INJURY. I HEREBY AFFIRM THAT I AM PARTICIPATING IN A YOGAFAITH SESSION WITH KNOWLEDGE OF THE RISKS INVOLVED. I ASSUME AND ACCEPT ANY AND ALL RISKS OF INJURY AND HAZARDS. (Initial Below)

I HEREBY AFFIRM MYSELF TO BE IN PHYSICAL CONDITION TO PARTICIPATE IN A YOGAFAITH SESSION WITH NO MEDICAL CONDITION OR INJURY PREVENTING ME FROM DOING SO. I HAVE DISCLOSED ALL MEDICAL RESTRICTIONS AND CONDITIONS THAT ARE RELEVANT TO PARTICIPATION. (Initial Below)

Phone Number

Date

Check here to acknowledge you have read and understood all of the above yoga class disclaimers.

Signature