Yoga Consent Form
Email address *
I recognize that the yoga classes require physical exertion which may cause physical injury. *
Required
I am fully aware that there are possible risks involved. I understand that it is my responsibility to consult a physician prior to participating in yoga classes. *
Required
I warrant that I am physically fit and do not have medical conditions which would prevent my participating in yoga classes. *
Required
I recognize the various suggested poses should be approached in a gentle fashion. If any movement brings discomfort, I know to modify the pose as deemed necessary to my physical needs. *
Required
I agree to assume full responsibility for any injuries sustained and I release the Center for Therapy & Counseling Services from any and all liability as a consequence of my participation in yoga classes. *
Required
Name *
Telephone number *
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