Waiver Of Liability Printable Version

Waiver Of Liability

Name:
Mobile Tel:
Email:
Emergency Contact: Name:
Contact telephone number: Relationship to you:
Have you practiced yoga before?
If so how for how long:
What type of Yoga:
Do you have any injuries/medical issues we should be aware of?
Do you have your own mat that you would like to bring?
Please read the following terms and conditions including a waiver of liability carefully before signing.
Terms & Conditions:
• Classes are charged at a drop in rate of £30 per class.
• Classes can be purchased at a charge of £105 for 4 classes. This gives you one class half price in a block of 4 classes, spanning 4 weeks, enabling you to complete one class per element (earth, water, fire, air).
• If you have booked a class and are unable to attend please tell me the day before so I can give your space to someone on the waiting list.
• If you fail to turn up or notify me and your space can’t be filled, a class will be deducted if a course has been purchased, or if attending as a drop in you will be charged for the class.
• Please wear suitable clothing and leave your valuables securely at your desk or in your locker.
• Please ensure that you come to class hydrated and have sufficient hydration with you.
• Please try to leave at least 90mins between your last meal and class.
• Please feel free to use the shower facilities in the building, towels are provided upstairs in the office. Please leave the facilities as you found them.
Waiver of liability:
• I understand and acknowledge the fact that in yoga, as in other forms of exercise, sports, bodywork or self-development, there exist certain inherent risks. I voluntarily participate in the yoga instruction or other programs and agree to assume full responsibility for all risks, injuries, or damages, known or unknown, which I might incur as a result of participating in the yoga class(es).
• I understand that it is my responsibility to consult with my health care practitioner prior to and regarding my participation in yoga classes. By signing below, I release Robyn Kristen from liability and hold her harmless for any injury to my person and damage or loss to my property incurred while participating in classes offered by her, whether in or out of class, by negligence or otherwise.
• I know that yoga requires alignment of the body and that yoga teachers often adjust students to help them get the poses more accurately. By signing below I consent to such touch and adjustment. If I do not wish to be touched, I will clarify that fact in a signed writing and hand it to Robyn Kristen prior to commencement of class.
I have read, understood and agree to the terms and conditions including the cancellation policy and waiver of liability on this registration form

Signed: ………………………………………………………………………………….

Date: …………………………………………………………………………………….

Print name: ……………………………………………………………………………..

Printable Version