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Emergency Contact Name
Emergency Contact Phone
Describe your health/medical conditions your instructor needs to be aware of, while working with you.
Release and Wavier of Liability *
1. The information I have provided on this form is complete and accurate.
2. I understand that participating in class involves risk of injury; I agree to be solely responsible for any injuries sustained by me as a result of my participation in this class or any future classes I take. I am fully aware of the risks involved.
3. I represent and warrant that I am physically fit and have no medical conditions that would prevent me from participation in Yoga classes. I assume full responsibility for any injuries or damages, known or unknown, which I might incur as a result of participating in yoga classes. I knowingly, voluntarily and expressly, waive any claim I may have against YogaVriksha.
I agree to the waiver of liability.
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