MobiYogi Yoga Waiver
Waiver and Release Form
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Date of Birth
I hereby agree to the following: 1. I am participating in classes or services, either virtually or in person, during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities. 3. In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program. 4. In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against Rachel Barker should injury occur and I will also assume full responsibility for any injuries that may result from my participation. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above by typing my name below:
I agree that it is within my rights, and within Rachel's rights, to refuse any instruction given. I also agree to communicate with Rachel any questions and/or needs that I may have, by initialing below:
My emergency contact person (name and phone number):
Any injuries or body curiosities you'd like Rachel to know about?
Any favorite poses or yoga experiences you'd like Rachel to know about?
have never practiced yoga before! Yay!
have been to a few classes in my time
have a semi-regular practice
am pretty proficient
I am cool with being signed up for Monday Morning Metta, a weekly newsletter, which will have exciting deals and some yoga + breathing+meditation content (can unsubscribe at any time)
For Private Yogi's Only!
I understand that there is a cancelation policy. If I cancel within 24 hours of our session, I will pay 1/2 price.
I am not a private yogi :)
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