Waiver | Ahimsa Wellness Yoga

Health Waiver

To register for our yoga classes please fill out the following medical form

First Name

Email Address

Last Name

Date of Birth

Do you need a doctor’s permit to participate in intense physical activities?

Yes

Initials

Today's Date

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. Asana (yoga posture) means posture easily held. If at any time during the class, I feel discomfort or strain, I will gently come out of the posture. I may rest at any time during the class. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body and inform my teacher immediately. I, the undersigned, understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I should consult a physician prior to beginning any activity program, including yoga. I recognize that it is my responsibility to notify my teacher of pregnancy, any serious illness or injury before every yoga class. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against (Ahimsa Wellness Yoga or any teacher affiliated with Ahimsa Wellness Yoga). Those under 18 years of age must have this form signed by a parent or guardian.

Thanks for submitting!

Health Waiver

GIVE THE GIFT OF YOGA AND WELLBEINGGIVE THE GIFT OF YOGA AND WELLBEING