Liability Waiver

Please fill out the following form in order to participate in class.

You are only required to fill out this form once.

First Name

Last Name

Birthday

Phone

Are you 16 years of age or over?

Yes

If no, you are still welcome to practice with us, but we require parent/guardian signature at the bottom of this form.

Are there any injuries your instructor needs to be informed of?

How did you hear about us?

Pronouns

I do hereby give my permission for my participation in yoga classes with Yoga for All Musicians Studio. By checking this box, I acknowledge that I am in good health and able to participate. I have visited a licensed physician within the past 6 months and have been cleared to practice yoga. I acknowledge that it is my responsibility to inform my yoga instructor of any pre-existing medical conditions or injuries that may impact my practice. In consideration of the permission granted to me to participate in yoga classes, I do hereby agree, on my own behalf, to release Yoga for All Musicians Studio from any and all actions, causes of action, damages, claims, or demands of whatever kind of nature which I may have for injuries, known or unknown, which are incurred by, arise from, or in any way relate to my participation in this yoga class.   I realize that I am participating in yoga instruction at my own risk. My signature is binding to this liability waiver from this day forth. I have read this release and fully understand the terms. I execute the release voluntarily and with full knowledge of its significance and consequences.

Your Signature

Parent/Guardian Signature

I confirm that the information given in this form is true

Date

Your submission has been recorded. You may now return to the previous page to finished signing up. We look forward to seeing you in class!