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Application and Health form
Application form for The school of TSR and other available courses including a health questionnaire and liability waiver for online or in-person sessions with Yogi Kaivalyananda and Yogini Li
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Email *
Full name *
Kindest tick which option your application is for: *
Required
Which part of your life is not working out for you the way you want them to? Tick the boxes that applies to your situation. *
What have you tried before to attend to the things that are not working out for you in life? *
On a scale of 1-10 how willing are you to put yourself first in order to create an extraordinary life? *
Do you have any injuries or medical issues the teacher should know about? If so, kindly detail. *
Are you under any psychological treatment? If so, kindly detail. *
Do you take any medication? If yes, please list the medications. *
Health Disclaimer for Online Yoga, Breathwork and Meditation session with Yogi Kaivalyananda (legal name: Cameron MacInnes) and Li Eklundh. As a person undertaking online classes (the Service), live or recorded, with Yogi Kaivalyananda and Li Eklundh, it is imperative that you accept responsibility for your health. Physical exercise, in all of its forms and with or without the use of equipment such as blocks, straps or any other equipment that may be suggested by Yogi Kaivalyananda or Li Eklundh, is a strenuous physical activity. Accordingly, you are urged and advised to seek the advice of a physician before beginning any physical exercise regimen, routine, program or using any suggested equipment. Yogi Kaivalyananda nor Li Eklundh have a medical profession and cannot give you medical advice or diagnosis. All suggestions and comments relating to the use of equipment, poses, movement, breath and instruction are not required to be performed by you and are carried out at your election while participating online or from recorded videos. Nothing contained in the Service should be construed as any form of such medical advice or diagnosis. By using the Service, you represent that you understand that physical exercise involves strenuous physical movement, and that such activity carries the risk of injury whether physical or mental. You understand that it is your responsibility to judge your physical and mental capabilities for such activities. It is your responsibility to ensure that by participating in classes, courses, programs, and activities from Yogi Kaivalyananda and Li Eklundh, you will not exceed your limits while performing such activity, and you will select the appropriate level of activity for your skills and abilities, as well as for any mental or physical conditions and/or limitations you have. You understand that, from time to time the teachers may suggest physical adjustments or the use of equipment and it is your sole responsibility to determine if any such suggested adjustment or equipment is appropriate for your level of ability and physical and mental condition. None of Yogi Kaivalyananda’s  or Li Eklundh´s physical classes are suitable for pregnant women. You expressly waive and release any claim that you may have at any time for injury of any kind against Yogi Kaivalyananda and Li Eklundh. *
Thank yourself for taking the time to fill out this form. We will get in contact with you soon to see if we are a good match to work together in a deep transformational way.

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