Online Yoga Participation Waiver
This is your Waiver Form to participate in Yoga Online hosted by "Yoga by Bethanie, LLC."
Email address *
Legal First Name *
Legal Last Name *
Gender *
Date of Birth *
Full Mailing Address including Zip Code *
Primary Contact Phone # *
Have you ever practiced yoga before? *
Required
I hereby consent as a participant in Yoga by Bethanie, LLC yoga classes and agree to assume all of the risks involved. I understand that Yoga by Bethanie, LLC does not provide medical insurance relative to accidents, injuries, and/or death as a result of program related activities; and that I cannot hold Yoga by Bethanie, LLC or appointed or affiliated Yoga by Bethanie, LLC teachers or host sites personally responsible for any liability. *
Required
I recognize that any form of physical activity is a potentially hazardous one, and that they involve a risk of possible injury or even death. I hereby affirm that I am voluntarily participating in these activities with the knowledge of the risk involved. I agree to expressly assume and accept any and all risks of injury and/or death. *
Required
I hereby affirm myself to be physically sound and suffering from no condition, ailment, impairment, disease, or other illness that would prevent my participation in Yoga by Bethanie, LLC activities, live online, pre-recorded or in-person. *
Required
My Full Name - Once Again *
A copy of your responses will be emailed to the address you provided.
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