New Student Contact Information & Disclaimer
Must be completed by all students with Sarah Powell Yoga Ltd.
Email *
First Name *
Last Name *
Email *
Address *
Mobile phone number *
Emergency Contact Name *
Emergency Contact Mobile Phone Number *
Please tell me about your yoga experience?
Tick One
Complete beginner (never practiced yoga)
Starting back after a break from yoga
Some experience (less than 5 years)
Many years of experience (5+ years)
Looking for Level 2 (inversions & handstands!)
Yoga Teacher looking for CPD hours
Looking to become a Yoga Teacher
Clear selection
Injuries and Medical Conditions *
How did you find out about Sarah Powell Yoga?
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Word of mouth
Google or search engine
Flyer
FaceBook advert
Instagram
Other
Clear selection
Privacy
Your details are kept confidential.

Medical information is only collected for the purpose of sharing with emergency personnel in the case of an emergency.

Your contact details are not shared with anyone outside of Sarah Powell Yoga Ltd. and will only used for the purpose of correspondence with you.

FILMING: if you participate in a group in-person yoga class with Sarah Powell Yoga Ltd it is highly likely that this class will be live-streamed. In participating you waiver any right to the use of those images/videos and they are the property of Sarah Powell.
Liability Release
I, the participant, acknowledge the following:

- Yoga involves some physical activity which involves some risk of injury
- I have received advice from my physician with respect to any past or present injury, illness, health concern or medication that may affect my participation in this physical activity and have clearance to participate
- I have listed all injuries and medical conditions on this registration form
- I understand Sarah Powell and staff have a duty of care to uphold and outside of that duty of care, any injuries or loss are my responsibility.
- By participating in live-stream or recorded or face to face yoga classes, you are agreeing to the following:
- I hereby release Sarah Powell and any instructors from responsibility for any injuries that I may sustain as a result of participation in the classes or programs
- By participating in any online pre-recorded or live-streamed class. I am aware that the instructor cannot see me and may not be able to offer personalized instruction, and therefore I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in the classes of programs offered.
- I may well be filmed during class and my image released over live-stream. I am fully aware of this use of my image/video and accept that all of those images are the property of Sarah Powell Yoga Ltd. and I claim no ownership rights to those recordings

I have read the above release and waiver of liability and fully understand its contents.
I am legally competent to voluntarily agree to the terms and conditions stated above, and by clicking on the check box, I agree to these conditions.

I hereby release Sarah Powell from liability arising from injury or loss outside of her duty of care.
I have read, understand and agree to the liability release *
Required
A copy of your responses will be emailed to the address you provided.
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