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Pregnancy Yoga Liability/Waiver Form

Before stepping onto your mat with me, please take a moment to fill out the waiver form below. This form requests your personal details, emergency contact information, and anything about your pregnancy or health that will help me make the class safe and supportive for you.

If you have any questions or want to chat about your practice get in touch here

Looking forward to seeing you in class! Corine 🧘‍♀️✨

I have chosen to attend pregnancy yoga with Stay Zen Yoga. I understand that all exercise carries some risk and it’s my responsibility to check with my GP or midwife before joining.

 

I know that participating while pregnant is at my own risk and that of my baby/babies. I understand that yoga is not a substitute for medical care.

 

I understand the instructor, Corine Ashton, or the venue cannot be held responsible for any injury or issues that happen during class.

 

Sometimes the instructor may offer gentle hands-on guidance to help with posture. If I don’t want adjustments, I will let the instructor know. If I do want adjustments, it’s my responsibility to say if something feels uncomfortable.

 

By attending, I agree not to hold Corine Ashton or Stay Zen Yoga responsible for any incidents that may occur during my participation in pregnancy yoga classes.

Please use the space below to share anything you feel the Yoga Instructor should know, including:

  • Any pregnancy complications or medical concerns

  • Advice from your GP or midwife

  • Injuries, surgeries, or ongoing physical conditions

  • How you are feeling in your body or any discomfort

This helps me adapt the class safely and ensure you feel supported throughout your practice.

I give consent to be photographed or filmed while participating in the yoga class and for the photos and videos to be used by Corine Ashton and Stay Zen Yoga for promotional purposes. I understand that I will not be identified by name, nor will any compensation be extended for such use.

What would you like to gain from pregnancy yoga?
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Thanks for completing the waiver form,

I look forward to seeing you in class soon!

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