Yoga and Wine Class Waiver Form
**Please note, all of the information on this form is kept confidential
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Name *
Email *
Address *
Phone number *
Emergency Contact  w/ Contact Phone Number *
Have you practiced yoga before? *
If YES, for how long?
Comments
Limitations/ Injuries:
Do you have numbness/pain in:
If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day. I, the undersigned, understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor Katherine Porter, nor the hosting facility Evansburg Vineyards, is liable for any injury, or damages, to person or property, resulting from the taking of the class.   Sign name below with today's date in the following format: John Doe 00/00/0000 *
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