Yoga Class Participant Liability Waiver Form

Participant Information

Full Name Date of Birth Email Phone Number Emergency Contact Name & Number

Health & Medical Information

Please list any health conditions, injuries, or limitations Any medications taken regularly

Release of Liability

I understand that yoga includes physical movement which may present a risk of injury. I accept personal responsibility for my participation and any resulting injury. I agree to inform the instructor of any medical conditions. I voluntarily assume all risks and waive any claim I may have against the instructor and facility.

I have read, understood, and agree to the terms stated above.