Registration Form

 

Registration & Waiver Form

Your Privacy is important. Your information is kept confidential and used only for the purposes of understanding your needs as an individual. Your email address is collected to inform you of any timetable changes, news and events and will not be passed on to any third parties. You may unsubscribe from this at any time.

Please continue on to Health Questionnaire when you have completed your Registration.

* indicates required
/ / ( dd / mm / yyyy )
Waiver Acknowledgement

Please read the following waiver carefully before completing your registration. All students must agree to the terms of the waiver before participating in Group Classes or Private Sessions with All Souls Yoga.

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 understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated.

If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor.

I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation.

I understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment.

Yoga is not recommended and is not safe under certain medical conditions.

By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program.

In addition, I will make the instructor aware of any medical conditions or physical limitations before class.

If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate.

I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.

I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against ALL SOULS YOGA and all related facilities and premises for any personal injury or negligence.

Additionally, the facility, instructor and ALL SOULS YOGA are not in any way responsible for any loss or damage of your personal property.

Those under 18 years of age must have this form signed by a parent or guardian.

If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.

I have carefully read and fully understand and agree to the above terms of this Liability Waiver Agreement.

I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law and that it cannot be changed orally.

I declare to the best of my knowledge that the information given above is correct and I take full responsibility for my own health and well-being during the class.

Last edited October 2021