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  • Classwaiverform

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    This document is a waiver form for an Intuitive Movements Yoga class. It requests information from registrants such as name, address, medical history, yoga experience, and availability. The waiver explains that yoga should not be a substitute for medical care and that students should listen to their body and not strain during poses. It releases the instructor and facility from liability for any injuries occurring during class. Signatures are required from students and parents/guardians of minors.

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    classwaiverform (1)

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    This document is a waiver form for an Intuitive Movements Yoga class. It requests information from registrants such as name, address, medical history, yoga experience, and availability. The waiver explains that yoga should not be a substitute for medical care and that students should listen to their body and not strain during poses. It releases the instructor and facility from liability for any injuries occurring during class. Signatures are required from students and parents/guardians of minors.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    45 views1 page

    Classwaiverform

    Uploaded by

    api-289029382
    This document is a waiver form for an Intuitive Movements Yoga class. It requests information from registrants such as name, address, medical history, yoga experience, and availability. The waiver explains that yoga should not be a substitute for medical care and that students should listen to their body and not strain during poses. It releases the instructor and facility from liability for any injuries occurring during class. Signatures are required from students and parents/guardians of minors.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    IntuitiveMovementsYoga:MandatoryClassWaiver

    **Pleasenote,alloftheinformationonthisformiskeptconfidential.

    REGISTRANTDETAILS:
    Name:____________________________________________________________________
    Address:__________________________________________________________________
    City:_________________________Prov:______________PostalCode:_______________
    Email:___________________________________________Phone:___________________
    Birthday:_____________________________
    Occupation:_______________________

    Haveyoupracticedyogabefore?YES/NO(Pleasecircle)
    IfYES,forhowlong?_________________________________________________________
    Limitations/Injuries:___________________________________________________________
    Doyouhavenumbness/painin(circleallthatapply):neckshoulderselbowshandswristships
    lowerbackupperbackkneesfeetother(pleasenote):___________________________

    Pleasechecktheclassesthatyouaremostlikelytoattend:
    Monday:7:158:30pm
    Tuesday:6:307:45pm
    Wednesday:7:008:15pm
    Thursday:7:008:15pm Friday:7:008:15pm
    Saturday:8:309:45am

    AreyouinterestedinMorningYoga?YesNo
    Ifsowhattime?_________am
    WhichClassesAreYouInterestedIn:(Circleallthatapply)

    Beginner
    Intermediate
    Advanced
    Yin Restorative
    Vinyasa

    WAIVER

    Ifatanytimeduringtheclass,youfeeldiscomfortorstrain,gentlycomeoutoftheposture.You
    mayrestatanytimeduringtheclass.Itisimportantinyogathatyoulistentoyourbody,and
    respectitslimitsonanygivenday.

    I,theundersigned,understandthatyogaisnotasubstituteformedicalattention,examination,
    diagnosis,ortreatment.Ishouldconsultaphysicianpriortobeginninganyactivityprogram,
    includingyoga.Irecognizethatitismyresponsibilitytonotifymyteacherofanyseriousillness
    orinjurybeforeeveryyogaclass.Iwillnotperformanyposturestotheextentofstrainorpain.

    Iacceptthatneithertheinstructor,northehostingfacility,isliableforanyinjury,ordamages,to
    personorproperty,resultingfromthetakingoftheclass.Thoseunder18yearsofagemust
    havethisformsignedbyaparentorguardian.

    _________________________________________________________________
    Name(Print)
    Signature
    Date
    __________________________________________________________________
    Parent/Guardian
    Signature
    Date

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