THE YOGA SCHOOL OF MILFORD

Agreement of Release and Waiver of Liability

How did you hear about us?__________________________________________

Today’s Date:_____________________________________________________

Have you attended a yoga class before?_________________________________

If Yes, Where?____________________________________________________

Name___________________________________________________________

Address__________________________________________________________

City.State.Zip:_____________________________________________________

Contact Phone Number______________________________________________

                   E-mail Address( PRINT ONLY)_________________________________________

                   Which Class_________________________________________________________

Release

I am aware that The Yoga School of Milford provides experiential yoga classes.  I recognize that these yoga classes may, at times, be strenuous.  By my participation in any of these yoga classes and workshops, I present to you that I am physically fit.  I agree to take full responsibility for not exceeding my limits and for any injury I might suffer while doing any of the poses.  It is my responsibility to ascertain that there is no medical reason to prevent my participation.  I assume full risk for any injuries, which I may incur and waive any claim that I might have at any time for injury of any sort against The Yoga School of Milford, and the respective instructors, or any person or entity in any way involved therewith.

I have carefully read this release and fully understand and agree to the above.

Signature___________________________                                Date__________________________

If under 18 years of age: As legal guardian of _________________, we consent to the above conditions.

Please Note: You will be receiving hands on adjustments during the class.  If you do not want any adjustments please notify the teacher before the class.