Inspired Change Yoga - Waiver & Emergency Form
Please fill this form out thoughtfully before your first session.
What is your email address? *
What is your name? *
What is your date of birth? *
MM
/
DD
/
YYYY
I, the undersigned client, understand that the activities involved in these sessions may involve physical, emotional, and psychological activity. In these cases there’s always some risk involved. I understand that I am responsible for assessing the risk that any activity poses to me, and then making safe and empowered choices for myself. *
Required
I, the undersigned client, agree to assume the risk and responsibility for any injuries or damages arising out of my participation in all sessions with Inspired Change Yoga. *
Do you currently have any injuries or concerns? *
I, the undersigned client, I have read and understand the statements above. By joining the class I give consent to be recorded. Please sign your full name here: *
Please print today's date. *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy