Indyoga Liability Waiver and Health & Fitness Form

Yoga, SUP Yoga and Paddle Boarding provide great benefits for the body, but only you know your own body and limitations. Like any exercise, please consult a healthcare professional with any concerns before starting any exercise program. When participating in any exercise, there is always a possibility of physical injury, and not all postures are suitable for everyone. Please honour your body and respect your range of motion, considering pre-existing conditions or injuries. 

Indyoga is not liable for any injury or accident to any individual participating in a class or using the techniques suggested. Indyoga is not a licensed medical care provider and acknowledges it has no expertise in diagnosing, examining, or treating medical conditions, or determining the effect of any specific exercise on an existing medical condition.

I hereby agree to the following:
1. I am participating in Yoga, SUP Yoga or Paddle Boarding classes or any other exercise classes offered by Indyoga, online or in person. During which I will receive information and instruction about Yoga, paddle boarding, physical exercise or health. I recognise that exercise requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

2. I understand that it is my responsibility to consult a physician prior to and regarding my participation in the classes or courses offered by Indyoga. I represent and warrant that I am physically fit and I have no medical condition which I have not indicated on the Health & Fitness form, which would prevent my full participation in these classes, health programmes or workshops.

3. I will advise Indyoga on all known medical conditions, illness, injury and pregnancy in my health & fitness questionnaire and also confirm any changes in the future and at the start of class.

4. If I am pregnant I understand that I participate fully at my own risk and that of my unborn child/children. If pregnant, it is up to you to notify the instructor, as some classes/postures may not be suitable during certain stages of pregnancy.

5. In consideration of being permitted to participate in classes, health programmes or workshops, 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 programmes offered by my instructor or substitute teacher.

6. In further consideration of being permitted to participate in the classes and courses offered at Indyoga, I knowingly, voluntarily and expressly waive any claim I may have against my instructor or substitute teacher for injury or damages that I may sustain as a result of participating in these programmes.

7. I understand fully that from time to time during classes the instructor may physically assist the student’s form and posture. If I do not want such physical adjustments, I will so inform the instructor at the beginning of each class I attend. I also acknowledge that if I do wish to receive such assists, it is my responsibility to inform the instructor when an adjustment has gone as far as I desire at that time.

8. I agree that Indyoga is in no way responsible for the safekeeping of my personal belongings while I attend public group classes. I hereby take full and sole responsibility from any liability of loss or damage to personal property associated with yoga classes or any other events.

9. I understand that classes at Indyoga may at times be physically challenging and I attend classes at Indyoga entirely at my own risk. I accept that it is my responsibility to inform my teacher at the start of each and every class I attend at Indyoga of any injury or health condition that I may have, but that my teacher or Indyoga are in no way responsible for any worsening of any condition I may have as a result of attending a class at Indyoga.

10. I agree that neither I, my heirs, assignees or legal representatives forever release, waive, discharge and covenant not to sue or make any other claims of any kind against Indyoga or its employees for any personal injury, property damage/loss or wrongful death, caused by negligence or other acts.

11. I understand that if I cancel a class for any reason, then a period of cancellation is required to avoid the full fee being charged. These are as follows:

Online or in person class: 12hrs

Private 1-2-1 tuition or Reiki session: 48hrs

Paddle Board lesson or SUP Yoga class: 72hrs

Special events: 7 days

Please note it is your responsibility to inform us if there is a change to any of the answers given.

The information that you provide constitutes personal data and as such will be processed in accordance with the Data Protection Act 2018 by Indyoga.
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Date of completion *
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First name *
Surname *
Contact number:  
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Town/City:   
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Date of birth *
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Emergency contact name
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Emergency contact relationship:  
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Emergency contact number:
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What is your main reason for wanting to join us?
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Have you done Yoga/Movement/Fitness/Pilates based classes before? 
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If yes, what type(s) and to what level/duration?
Have you done Paddle boarding, SUP Yoga or water board sports before? 
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If yes, what type(s) and to what level/duration?
If you are booking a Paddle boarding session, are you confident in open water and can swim at least 50m?
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Which aspects most interest you in our Yoga and SUP classes? Please tick as many as you wish:
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Required
Are you happy to have photos taken and used for Indyoga marketing purposes? 
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Do you have a heart condition or high/low blood pressure?
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Do you feel pain in your chest when you do physical activity?
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Do you lose balance because of dizziness or have you lost consciousness in the last 12 months?
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Have you ever been diagnosed with another chronic medical condition?

(other than heart disease or high blood pressure)


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Are you currently taking prescribed medications for a medical condition?
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Do you have a bone or joint problem that could be made worse by becoming more physically active?
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Are you or could you be pregnant?
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If you know any other reason/medical condition or injury why you may not do physical activity, please provide further information:

NO, to all questions: It is reasonably safe for you to participate in physical activity, gradually building up from your current ability.

YES, to any of the above then you should consult with your doctor and clarify it is safe for you to be physically active at this time and in your current state of health.

DECLARATION AND AUTHORISATION

1. I have read, fully understand the contents of the release and waiver of liability and I voluntarily agree to the terms and conditions stated under my own free will. 

2. I confirm the information given in this Health and Fitness form is a true and accurate statement. 

Please sign below

Thank you,

Indyoga

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A copy of your responses will be emailed to the address you provided.
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