Yoga Teacher Training Forum

Below is another sample:

Yoga Class
Enrollment and Waiver Form
Name__________________________________________________________________________________________
Address_______________________________________________________________________________________
City_______________________ State___________________ Zip
Code__________________
Home Phone_____________________________________
Work Phone______________________________________
EMail__________________________________________________________________________________
Limitations, Injuries,
Surgeries_______________________________________________________________________
If so, date of onset, or surgery________________________________________________
Emergency
Contact__________________________________________________________________________
Release and Waiver of Liability
In any physical activity, risk of serious physical injury is possible. Yoga is no substitute
for medical diagnosis and treatment. Yoga practice and/or specific poses are not
recommended for individuals with certain conditions (e.g., cardiac illness, later stages
of pregnancy, post-surgery) The student assumes the risk of yoga practice and releases
the teacher(s) and Center for Health and Wellness from any liability claims.
I, _______________________________________________, am participating in yoga
classes, or workshops, at the Center for Health and Wellness. I am aware of the physical
risks involved with strenuous exercise and understand it is my personal responsibility
to consult with my Doctor regarding my participation. I have no medical condition,
which would prevent me from taking part in yoga classes or workshops, and I assume
responsibility for any risk or injury I may sustain as a result of my participation. I have
read the above release and waiver of liability and understand its contents. I agree to the
terms and conditions stated above.
Date___/___/___
Signature____________________________________________________