Yoga Waiver Form

Yoga Liability/Waiver Form

Before rolling out your mat with me, please complete the below waiver form.
The form asks for personal details, your emergency contact and any health issues that could impact your Yoga Practice. It's important that you give the correct information to keep you safe and sound in class.
Got any questions or concerns? Feel free to send me a message or give me a call.

Excited to see you in class! Corine xox

Particpants First name

Address

Particpants Last name

Phone Number

Date of Birth

Emergency Contact Name

Emergency Contact Number

Parent/Guardian Name (under 18's)

Parent/Guardian Address (if different to above)

Please list anything that the Yoga Instructor should be aware of, including medical concerns:

Sign with full name

Subscribe to mailing list

Yes

I declare that the info I’ve provided is accurate & complete

I , the student, have voluntarily applied to participate in Yoga class. I am aware of the physical risks and hazards involved with exercise and I understand that it is my personal responsibility to consult with my GP regarding my participation. I assume responsibility for any risk or injury I may sustain as a result of my participation. If I am pregnant, I understand that I participate fully at my own risk and that of my unborn child/children. I understand that Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. I understand that from time to time during yoga classes, the instructor may physically adjust students’ form and posture. If I do not want such physical adjustments, I will inform the instructor upon arrival at this event. I also acknowledge that if I do wish to receive such adjustments, it is my responsibility to inform the instructor when an adjustment has gone as far as I desire at that time. I agree to discharge Corine Ashton and Yoga & Friends Ltd from any claim, cause of action or liability relating to any incident that may occur. I consent to be photographed while taking a Yoga Class with Yoga & Friends. These photographs are the property of Yoga & Friends and no compensation will be given to me if these photographs are used by Yoga & Friends for promotional purposes.

Thanks for completing the waiver form,

I look forward to seeing you in class soon!