Registration Form

Name 

 

Date of Birth 

 

Phone number 

 

Email Address

 

Health Information 

 

 

Emergency Contact

 

Phone number 

 

Class Name:


Consent and Waiver:

I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in yoga classes. I understand that yoga involves physical movement and may involve the risk of injury. I am aware of my own physical limitations and accept responsibility for my own health and well-being.

I agree to inform the instructor of any medical conditions, injuries, or changes in my health status prior to participating in the class.

I hereby release, waive, and discharge Mind&Body Yoga from any and all liability for injury, loss, or damage to my person or property, arising out of or in connection with my participation in yoga classes.

I have read and understood this consent form and agree to its terms.

 

 

Signature:___________________________________________

 

Date: _______________________________________________